Individual
JOHN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3130 MAIN AVE, DURANGO, CO 81301-4247
(970) 247-4475
Mailing address
#6 TOWN PLAZA SHOP CENTER, DURANGO, CO 81301
(970) 247-4485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0020354
CO
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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