Individual
KEVIN EMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1704 W STOCKTON ST, EDMONTON, KY 42129-8137
(270) 432-3111
Mailing address
PO BOX 479, EDMONTON, KY 42129-0479
(270) 432-3111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008191
KY
Other
Enumeration date
07/06/2006
Last updated
10/29/2009
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