Individual
ROBERT WILLIAM KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1409 THE BLVD, RAYNE, LA 70578-6216
(337) 334-5197
(337) 334-8648
Mailing address
1409 THE BLVD, RAYNE, LA 70578
(337) 334-5197
(337) 334-8648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10710
LA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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