Individual
DR. DEANNA LEIGH CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
120 JILL DR, BEREA, KY 40403-1677
(859) 986-3113
Mailing address
1945 SPEEDWELL RD, RICHMOND, KY 40475-9529
(859) 358-7935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020615
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020615
STATE LICENSE
KY
Enumeration date
08/31/2019
Last updated
08/31/2019
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