Individual
KENNEDY KAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5625 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-4015
(262) 504-2492
Mailing address
5625 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-4015
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20984-40
WI
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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