Individual
DR. KOREY A KENNELTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, MS
Contact information
Practice address
606 S WHITNEY WAY, MADISON, WI 53711-1035
(608) 274-1311
Mailing address
6004 DELL DR, MADISON, WI 53718-8200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15353-40
WI
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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