Mark Thomas Kennedy

NPI #1831727395 in Lake City, Minnesota

Provider Information

NPI Number: 1831727395
Entity Type: Individual
Name: Mark Thomas Kennedy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 31, 2020
Last Updated: Mar 31, 2020

Practice Location

Address: 223 S LAKESHORE DR
City: Lake City
State: Minnesota
ZIP Code: 55041-1642
Phone: (651) 345-3411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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