Individual
KEVIN EDWARD REDDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 E HAWAII AVE STE 100, NAMPA, ID 83686-6011
(208) 466-7823
(208) 466-8429
Mailing address
215 E HAWAII AVE STE 100, NAMPA, ID 83686-6011
(208) 466-7823
(208) 466-8429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4787
ID
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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