Individual
KENDALL KEITH KILBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
410 RICHMOND, MOUNT VERNON, KY 40456-0796
(606) 256-3447
Mailing address
PO BOX 796, MOUNT VERNON, KY 40456-0796
(606) 256-3447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011078
KY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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