Individual
MS. CAROL KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3757 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2403
(616) 364-9497
Mailing address
3757 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025987
MI
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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