Individual
DR. KYNDALL GODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6111 JEFFERSON AVE, NEWPORT NEWS, VA 23605-1511
(757) 637-4217
Mailing address
3003 WOODBRIDGE DR, NEWPORT NEWS, VA 23608-8234
(770) 733-3479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219125
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202219125
VIRGINIA BOARD OF PHARMACY
VA
Enumeration date
04/21/2021
Last updated
04/21/2021
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