Individual
MS. KANESHA KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 W ROOSEVELT RD, BROADVIEW, IL 60155-4024
(708) 343-5323
Mailing address
1600 W ROOSEVELT RD, BROADVIEW, IL 60155-4024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-290981
IL
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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