Individual
KYLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3699 E BROADWAY BLVD, TUCSON, AZ 85716-5400
(623) 693-2786
Mailing address
5025 N 1ST AVE APT 202, TUCSON, AZ 85718-5657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023141
AZ
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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