Individual
KENNETH LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1940 E 1ST ST STE 110, PORT ANGELES, WA 98362-4990
(360) 457-3456
(360) 457-5293
Mailing address
116 N ALBERT ST APT 235, PORT ANGELES, WA 98362-3339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00068602
WA
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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