Individual
TERRY R KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1 MEDICAL PARK, WHEELING HOSPITAL, WHEELING, WV 26003-6379
(304) 243-3278
Mailing address
46210 COUNTRY LAKE DR, SAINT CLAIRSVILLE, OH 43950-7701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004598
WV
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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