Individual
DR. JACOB WILSON KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
459 N BROADNAX ST, DADEVILLE, AL 36853-2108
(256) 825-4242
(256) 825-5034
Mailing address
459 N BROADNAX ST, DADEVILLE, AL 36853-2108
(256) 825-4242
(256) 825-5034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19300
AL
Other
Enumeration date
03/30/2015
Last updated
08/08/2021
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