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Individual

DR. ARTHUR DWAYNE KISBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
338 S DAKOTA AVE, 30TH MEDICAL GROUP, VANDENBERG AFB, CA 93437-6307
(805) 606-1819
Mailing address
338 S DAKOTA AVE, 30TH MEDICAL GROUP, VANDENBERG AFB, CA 93437-6307
(805) 606-1819

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
48576261701
UT
183500000X
Pharmacist
Primary
48576268911
UT

Other

Enumeration date
02/02/2006
Last updated
09/11/2025
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