Individual
DR. KEITH EARNEST VENJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3101 EAST KANSAS AVE, GARDEN CITY, KS 67846
(620) 275-7557
(620) 275-5078
Mailing address
430 SUSAN ST, GARDEN CITY, KS 67846-8336
(620) 272-3049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16987
KS
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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