Individual
MR. KENNETH R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
KNIGHT SERVICE COMPANY, 2520 INDUSTRIAL ROW DRIVE, TROY, MI 48084
(248) 540-8066
Mailing address
2393 SILVER CIR, WATERFORD, MI 48328-1741
(248) 673-7014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302023583
MI
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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