Individual
PHILIP NEIL KENNEDY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 21ST STREET, NITRO, WV 25143
(304) 755-9015
Mailing address
182 SCARLET DRIVE, POCA, WV 25159
(304) 206-5555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03237524
OH
183500000X
Pharmacist
Primary
RP0010249
WV
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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