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Individual

MR. KENNETH H. MCKNEELY SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11129 GORDON RD, FREDERICKSBURG, VA 22407-1714
(540) 785-6634
(540) 785-6671
Mailing address
7212 CATTAIL CT, FREDERICKSBURG, VA 22407-2503
(540) 845-7212
(540) 785-6671

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004426
VA

Other

Enumeration date
03/14/2011
Last updated
03/14/2011
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