Individual
SUSAN KSENAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6517
(765) 349-6407
Mailing address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6517
(765) 349-6407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014749A
IN
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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