Individual
KERRY JON MCKENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 S CREYTS RD, LANSING, MI 48917-8507
(517) 322-8018
(517) 322-8242
Mailing address
2185 WILLOUGHBY RD, MASON, MI 48854-9419
(517) 322-8018
(517) 322-8242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302024420
MI
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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