Individual
DR. DAVID A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 359-6487
(208) 359-6467
Mailing address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 359-6487
(208) 359-6467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6652
ID
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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