Individual
DIANE MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
851 IRELAND AVE, PHARMACY DEPARTMENT, FORT KNOX, KY 40121-2722
(502) 624-5915
(502) 624-2095
Mailing address
851 IRELAND AVE, PHARMACY DEPARTMENT, FORT KNOX, KY 40121-2722
(502) 624-5915
(502) 624-2095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008407
KY
183500000X
Pharmacist
2220
NH
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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