MR. Kenneth Raymond Bellisle, R.PH

NPI #1669623690 in Hickam Afb, Hawaii

Provider Information

NPI Number
1669623690
Entity Type
Individual
Name
MR. Kenneth Raymond Bellisle, R.PH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
R.PH
Enumeration Date
Oct 8, 2008
Last Updated
Oct 8, 2008

Practice Location

Address
755 SCOTT CIR
Address 2
15TH MEDICAL GROUP
State
Hawaii
ZIP Code
96853-5399
Phone
(808) 448-6261

Specialties & Taxonomy Codes

Specialty
Pharmacist

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