Individual
DR. REID KENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH, BCMAS
Contact information
Practice address
4750 E 450 S STE A, WHITESTOWN, IN 46075-8404
(844) 468-0416
Mailing address
4750 E 450 S STE A, WHITESTOWN, IN 46075-8404
(844) 468-0416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028592A
IN
183500000X
Pharmacist
42542
TN
Other
Enumeration date
06/18/2020
Last updated
04/23/2025
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