Individual
MR. KENNY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
702 GRANT ST, SUMMIT, MS 39666-9405
(601) 684-4127
(601) 684-8479
Mailing address
702 GRANT ST, SUMMIT, MS 39666-9405
(601) 684-4127
(601) 684-8479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-5823
MS
Other
Enumeration date
01/13/2009
Last updated
01/15/2009
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