Individual
DR. KIRSTIN KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1280 GAIL GARDNER WAY, PRESCOTT, AZ 86305-1641
(928) 541-0562
(928) 541-0584
Mailing address
345 S VIRGINIA ST, UNIT 9, PRESCOTT, AZ 86303-4469
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019865
AZ
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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