Individual
MENA KUALLENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
Mailing address
2913 CHESTERFIELD AVE APT 12, CHARLESTON, WV 25304-1159
(304) 444-3286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023111
KY
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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