Search › Indiana › 1835P0018X
Jeffrey Fenimore, RPH
NPI 1295362994 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4526 W Western Ave
South Bend, IN 46619 - Phone
- (574) 288-0471
- Organisation at this address
- Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-24
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 Indiana