Individual
MR. RANDALL KEVIN ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 US HIGHWAY 41A-S, PROVIDENCE, KY 42450
(270) 667-7031
(270) 667-9254
Mailing address
105 US HIGHWAY 41A-S, PROVIDENCE, KY 42450
(270) 667-7031
(270) 667-9254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010223
KY
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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