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Individual

KECIA RENE BARTHOLOMEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2626 E STONE DR, T-2332, KINGSPORT, TN 37660-5883
(423) 578-1727
Mailing address
2626 E STONE DR, T-2332, KINGSPORT, TN 37660-5883
(423) 578-1727

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36581
TN

Other

Enumeration date
07/09/2012
Last updated
07/09/2012
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