Individual
MR. KENNETH LYLE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4445 IVANREST AVE SW, GRANDVILLE, MI 49418-3150
(616) 532-1065
Mailing address
4445 IVANREST AVE SW, GRANDVILLE, MI 49418-3150
(616) 532-1065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028356
MI
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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