Individual
KENT BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6223 N BROADWAY AVE, PARK CITY, KS 67219-1101
(316) 744-3948
(316) 744-9801
Mailing address
6223 N BROADWAY AVE, PARK CITY, KS 67219-1101
(316) 744-3948
(316) 744-9801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14004
KS
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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