Individual
RONNIE LEIF KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6618
(270) 825-6696
Mailing address
2700 DENZIL DR APT 3, HOPKINSVILLE, KY 42240-5723
(561) 213-4245
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020918
KY
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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