Individual
KATHLEEN CONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
201 N DIXON RD, KOKOMO, IN 46901-4131
(765) 457-1191
(765) 868-3184
Mailing address
4109 HONEY CREEK BLVD, RUSSIAVILLE, IN 46979-9155
(765) 883-8086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018620A
IN
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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