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Individual

LAURA R KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6633
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6633

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH025431
GA

Other

Enumeration date
04/30/2012
Last updated
09/04/2012
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