Individual
KENNETH ROY INSELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
179 W HIGHWAY 52, EMMETT, ID 83617-9738
(208) 272-9454
(208) 272-9460
Mailing address
179 W HIGHWAY 52, EMMETT, ID 83617-9738
(208) 272-9454
(208) 272-9460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P3625
ID
1835P1200X
Pharmacotherapy Pharmacist
Primary
P3625
ID
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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