Individual
MRS. KIMBERLY DAWN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 MAIN ST, KEOKUK, IA 52632-2231
(319) 524-9535
Mailing address
3111 MAIN ST, KEOKUK, IA 52632-2231
(319) 524-9535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17578
IA
183500000X
Pharmacist
286282
IL
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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