Individual
KYNDRA NIKIDA TATTIANA COOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
426 VILLAGE LN, HAZARD, KY 41701-9405
(606) 436-2117
(606) 436-6344
Mailing address
426 VILLAGE LN, HAZARD, KY 41701-9405
(606) 436-2117
(606) 436-6344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016147
KY
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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