Individual
DR. JENNIFER KIENLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ADMIRAL TROST RD, COLUMBIA, IL 62236-1996
(618) 281-6400
Mailing address
16 SYLVESTER AVE, SAINT LOUIS, MO 63119-3007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296103
IL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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