Individual
JENNIFER LEE KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8825 US HIGHWAY 42, UNION, KY 41091-7644
(859) 384-7936
(859) 384-7943
Mailing address
8825 US ROUTE 42, UNION, KY 41091
(859) 384-7936
(859) 384-7943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013831
KY
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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