Individual
KEVIN CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5750 MERLE HAY RD, JOHNSTON, IA 50131-1215
(515) 270-9212
Mailing address
5336 ST ANDREWS CIR, DES MOINES, IA 50320-2711
(651) 829-5374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24661
IA
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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