Individual
DR. ANDREW RYAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
510 LINDEN ST, CHADRON, NE 69337-6989
(308) 432-6995
Mailing address
510 LINDEN ST, CHADRON, NE 69337-6989
(308) 432-6995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16864
NE
183500000X
Pharmacist
21054
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16864
NEBRASKA BOARD OF PHARMACY
NE
01
—
21054
STATE BOARD OF PHARMACY
CO
Enumeration date
11/02/2018
Last updated
10/24/2021
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