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Individual
KENNETH MATTHEW HOUDYSCHELL
Active
Individual
KENNETH MATTHEW HOUDYSCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
013188
KY
183500000X
Pharmacist
Primary
03230396
OH
183500000X
Pharmacist
RP0006592
WV
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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