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Individual

JONATHAN DOUGLAS KOUNTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
6201 KING HILL AVE, SAINT JOSEPH, MO 64504-2063
(816) 238-2424
(816) 238-6717
Mailing address
6201 KING HILL AVE, SAINT JOSEPH, MO 64504-2063
(816) 238-2424
(816) 238-6717

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-16451
KS
183500000X
Pharmacist
Primary
2011023693
MO

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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