Individual
KYLE MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1284 N SUMMIT AVE STE 100, OCONOMOWOC, WI 53066-4459
(262) 569-8204
(262) 569-8215
Mailing address
1284 N SUMMIT AVE STE 100, OCONOMOWOC, WI 53066-4459
(262) 569-8204
(262) 569-8215
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16909-40
WI
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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