Individual
KENDAL KIIHNL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1645 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5725
(318) 797-9165
Mailing address
1645 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5725
(318) 797-9165
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017239
LA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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