Individual
KENNON CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 S 163RD ST, NEW BERLIN, WI 53151-3610
(262) 780-1910
(262) 780-1914
Mailing address
2720 S 163RD ST, NEW BERLIN, WI 53151-3610
(262) 780-1910
(262) 780-1914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17459-40
WI
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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