Individual
KENNETH R CARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4400 E 2ND ST, CASPER, WY 82609-4215
(307) 237-0994
(307) 237-1487
Mailing address
PO BOX 880, GLENROCK, WY 82637-0880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1884
WY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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