Individual
DR. JEFFREY D KENNICUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
315 S MANNING BLVD, ST PETERS HOSPITAL PHARMACY DEPARTMENT, ALBANY, NY 12208-1707
(518) 525-1266
(518) 525-6986
Mailing address
28 FIFE DR, SLINGERLANDS, NY 12159-7208
(518) 525-1266
(518) 525-7673
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
I032556-1
NY
Other
Enumeration date
08/23/2005
Last updated
04/07/2010
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