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Individual

DR. KYLE RICHARD NEBELSICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
200 BRULE ST UNIT 871, FORT KNOX, KY 40121-6100
(800) 493-9602
Mailing address
200 BRULE ST UNIT 871, FORT KNOX, KY 40121-6100

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
5797
SD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5797
SD

Other

Enumeration date
08/12/2011
Last updated
05/20/2021
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