Individual
KEVIN A NICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
71 MOUNTAINEER DR, FRANKLIN, WV 26807-8000
(304) 358-3272
Mailing address
71 MOUNTAINEER DR, FRANKLIN, WV 26807-8000
(304) 358-3272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012783
WV
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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