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Individual

CARMEN MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2013 LANTERN RIDGE DR, RICHMOND, KY 40475-6010
(859) 575-5010
Mailing address
3329 HIBERNIA PASS, LEXINGTON, KY 40509
(606) 481-0932

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012161
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
012161
PHARMACISTY LICENSE # KENTUCKY
KY
Enumeration date
05/02/2014
Last updated
05/02/2014
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