Individual
DR. ELKANAH ISRAEL KINDSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1114 LIBERTY RD, NORMAL, IL 61761-1311
(309) 830-6687
(417) 532-9743
Mailing address
1114 LIBERTY RD, NORMAL, IL 61761-1311
(309) 830-6687
(417) 532-9743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011023692
MO
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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