Individual
MR. KENNETH LEE KELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 WASHINGTON ST, RAVENSWOOD, WV 26164-1706
(304) 273-4496
(304) 273-9426
Mailing address
406 WASHINGTON ST, RAVENSWOOD, WV 26164-1706
(304) 273-4496
(304) 273-9426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0003908
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0003908
WEST VIRGINIA BOARD OF PHARMACY
WV
Enumeration date
05/02/2011
Last updated
05/02/2011
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