Individual
DR. KEVIN MICHAEL RONNENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8989 W DODGE RD, OMAHA, NE 68114-3301
(402) 393-2029
(402) 393-2059
Mailing address
8989 W DODGE RD, OMAHA, NE 68114-3301
(402) 393-2029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12659
NE
183500000X
Pharmacist
20663
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243106
NABP
—
Enumeration date
11/19/2011
Last updated
11/19/2011
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