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Individual

KEVIN ZACHARY KNIERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5275
Mailing address
2313 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46205-4343

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027162A
IN
1835P1200X
Pharmacotherapy Pharmacist
26027162A
IN

Other

Enumeration date
08/20/2020
Last updated
08/20/2020
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