Individual
SCOTT H KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1481 W 10TH ST FL 7, INDIANAPOLIS, IN 46202-2803
(317) 988-2583
(317) 988-3334
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 944-2583
(317) 999-3334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019394A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26019394A
PHARMACY LICENSE
IN
Enumeration date
08/29/2018
Last updated
08/29/2018
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