Individual
BEVERLY A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 S THIRD ST, CONNEAUT LAKE, PA 16316
(814) 382-2380
(814) 382-2818
Mailing address
100 SOUTH 3RD ST, CONNEAUT LAKE, PA 16316
(814) 382-2380
(814) 382-2818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP042593L
PA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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