Individual
JACOB MCCLURE KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 FERRIS DR, BIG RAPIDS, MI 49307-2740
(231) 591-2252
Mailing address
220 FERRIS DR, BIG RAPIDS, MI 49307-2740
(813) 992-1026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5351017463
MI
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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