Individual
DR. KENYON BRENT HOOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
72 KINGSTON DR, DALEVILLE, VA 24083-2574
(540) 992-1291
Mailing address
60 MICHELLE LN, ROANOKE, VA 24019-8290
(540) 992-5158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206638
VA
Other
Enumeration date
12/24/2010
Last updated
12/24/2010
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