Individual
DR. KENNETH JOSEPH MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, NORTHSIDE HOSPITAL FORSYTH, CUMMING, GA 30041
(111) 111-1111
Mailing address
5306 DREXEL WAY, DUNWOODY, GA 30346-1945
(513) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03131796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3131796
PHARMACIST LICENSE
OH
Enumeration date
08/31/2010
Last updated
11/25/2014
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