Individual
MR. KIP ALAN EBERWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-7124
(859) 313-2304
Mailing address
223 BROOKSTOWN RD, RICHMOND, KY 40475-9200
(859) 624-9027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008994
KY
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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