Individual
MR. KENNETH P FUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
106 W. RACE STREET, KINGSTON, TN 37763
(865) 376-5263
(865) 376-3852
Mailing address
106 W. RACE STREET, KINGSTON, TN 37763
(865) 376-5263
(865) 376-3852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3603
TN
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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