Individual
MICAH COLE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 S MAIN ST, GREENSBURG, KS 67054-1724
(620) 723-3112
(620) 723-3421
Mailing address
675 3RD ST, OSCEOLA, MO 64776-2934
(417) 646-2301
(417) 646-2456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-103795
KS
183500000X
Pharmacist
2021027219
MO
Other
Enumeration date
09/27/2021
Last updated
01/11/2024
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