Individual
DR. KELLEN PARK LUDVIGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D, R.PH
Contact information
Practice address
206 W MAIN ST, CHEROKEE, IA 51012-1825
(712) 225-2320
(712) 225-2319
Mailing address
206 W MAIN ST, CHEROKEE, IA 51012-1825
(712) 225-2320
(712) 225-2319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
118848
MN
183500000X
Pharmacist
Primary
20725
IA
Other
Enumeration date
02/08/2010
Last updated
07/11/2012
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