Individual
TOM PATRICK KINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6097 SISSONVILLE DR, CHARLESTON, WV 25312-9595
(304) 984-1001
(304) 984-1121
Mailing address
6097 SISSONVILLE DR, CHARLESTON, WV 25312-9595
(304) 984-1001
(304) 984-1121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP5118
WV
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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