Kelly Marie Kennedy

NPI #1689280406 in Lake City, Minnesota

Provider Information

NPI Number: 1689280406
Entity Type: Individual
Name: Kelly Marie Kennedy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 17, 2020
Last Updated: May 18, 2021

Practice Location

Address: 500 W GRANT ST
City: Lake City
State: Minnesota
ZIP Code: 55041-1143
Phone: (651) 345-6715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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