Individual
KAYLEE DENISE RIVENBARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3501 20TH AVE, VALLEY, AL 36854-3206
(334) 768-2118
Mailing address
1699 MELISSA CT, AUBURN, AL 36830-6672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23207
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2021
Last updated
12/02/2024
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