Kourtney Kennedy Gonzalez, PST. 020858

NPI #1730555046 in Benton, Louisiana

Provider Information

NPI Number
1730555046
Entity Type
Individual
Name
Kourtney Kennedy Gonzalez, PST. 020858
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PST. 020858
Enumeration Date
Aug 20, 2015
Last Updated
Dec 29, 2023

Practice Location

Address
4660 PALMETTO RD STE D
City
Benton
ZIP Code
71006-9742
Phone
(318) 965-6211

Specialties & Taxonomy Codes

Specialty
Pharmacist

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