Individual
MR. KENNETH JOE LIPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7042
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-7042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-036885
IL
183500000X
Pharmacist
26015825A
IN
Other
Enumeration date
03/10/2019
Last updated
03/10/2019
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