Individual
MRS. ELLEN REBEKAH KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 W MAIN ST, LEBANON, TN 37087-3113
(615) 444-8814
(615) 489-4818
Mailing address
1443 W MAIN ST, LEBANON, TN 37087-3113
(615) 444-8814
(615) 489-4818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000036696
TN
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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