Individual
DR. KIEL LEON FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 499-6022
Mailing address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 499-6022
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
201-701-3181
MO
183500000X
Pharmacist
53639
TX
Other
Enumeration date
06/16/2015
Last updated
04/29/2020
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