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Individual
KENNETH DAVID BAYLESS
Active
Individual
KENNETH DAVID BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26014686A
IN
183500000X
Pharmacist
Primary
6099
SC
Other
Enumeration date
07/14/2010
Last updated
12/04/2012
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