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Richard Kennedy
NPI 1114528809 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1025 Walton Dr
Fredericktown, MO 63645 - Phone
- (573) 783-2663
- Fax
- (573) 783-8003
- Organisation at this address
- Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri