Individual
JOHN W KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
929 W OWEN K GARRIOTT RD, ENID, OK 73701-5439
(580) 237-3151
(580) 237-2564
Mailing address
505 SOUTH JEFFERSON, PO BOX 475, ARNETT, OK 73832
(580) 216-2759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12527
OK
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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