Individual
KACI RUNNEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 3RD PL, MANHATTAN, KS 66502-5908
(785) 587-8648
Mailing address
601 3RD PL, MANHATTAN, KS 66502-5908
(785) 587-8648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100023
KS
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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