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
- City
- Hickam Afb
- State
- Hawaii
- ZIP Code
- 96853-5399
- Phone
- (808) 448-6261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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