Individual
MR. KENNETH LORD BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
31370 WHISTLE STOP DR, FRANKLIN, VA 23851-3856
(757) 653-4154
(757) 569-6341
Mailing address
31370 WHISTLE STOP DR, FRANKLIN, VA 23851-3856
(757) 653-4154
(757) 569-6341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011980
VA
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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