Individual
KRISTEN M KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5657
Mailing address
4386 HARR DR, TRAVERSE CITY, MI 49684-6899
(231) 935-4696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302034367
MI
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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