Individual
KEVIN KLIEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5360 HIGHLAND RD, BATON ROUGE, LA 70808-6548
(225) 757-1023
Mailing address
5360 HIGHLAND RD, BATON ROUGE, LA 70808-6548
(225) 757-1023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019909
LA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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