Individual
BRETT KVENILD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4005 E GRAND AVE, LARAMIE, WY 82070-5161
(307) 745-1557
(307) 742-0787
Mailing address
1527 E CUSTER ST, LARAMIE, WY 82070-4217
(307) 721-6988
(307) 742-0787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2940
WY
183500000X
Pharmacist
PH00040684
WA
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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