Individual
BAILEE KENSMOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
204 E MAIN ST, WATERTOWN, WI 53094-3748
(920) 261-1900
(920) 261-1910
Mailing address
204 E MAIN ST, WATERTOWN, WI 53094-3748
(920) 261-1900
(920) 261-1910
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20645-40
WI
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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