Individual
MR. KENNETH GERALD KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5625 WATER TOWER PL, SUITE 101, CLARKSTON, MI 48346-2671
(248) 625-1215
(248) 620-4258
Mailing address
5625 WATER TOWER PL, SUITE 101, CLARKSTON, MI 48346-2671
(248) 625-1215
(248) 620-4258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021895
MI
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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