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Individual

DR. KENNETH KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
800 ROSE ST, H-110, LEXINGTON, KY 40536-0001
(270) 863-2391
Mailing address
406 GREENLAWN CT, LEXINGTON, KY 40517-1412
(270) 863-2391

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014475
KY
390200000X
Student in an Organized Health Care Education/Training Program
014475
KY

Other

Enumeration date
05/07/2010
Last updated
10/22/2010
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