Individual
DR. AMANDA KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
703 E MAIN ST, ALBERT LEA, MN 56007-2937
(507) 369-0260
Mailing address
1904 1ST AVE NW, AUSTIN, MN 55912-4635
(641) 512-4874
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121857
MN
183500000X
Pharmacist
22282
IA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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