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Individual

DR. KEVIN WITBRODT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D

Contact information

Practice address
2835 KIRBY RD, MEMPHIS, TN 38119-8209
(901) 353-1387
(901) 353-5974
Mailing address
3860 AUSTIN PEAY HWY, MEMPHIS, TN 38128-2501
(901) 383-4847
(901) 383-4848

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
37562
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
E13111
MS

Other

Enumeration date
04/05/2016
Last updated
02/07/2020
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