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Individual

KENDLE DWAYNE DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
110 HILLCREST DR, BYRDSTOWN, TN 38549-2323
(931) 864-3166
(931) 864-8166
Mailing address
110 HILLCREST DR, BYRDSTOWN, TN 38549-2323
(931) 864-3166
(931) 864-8166

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3783
TN

Other

Enumeration date
06/17/2015
Last updated
06/17/2015
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