Kennedy, David A

Kennedy, David A is an individual health care provider with primary practice located at 450 E Main St , Rexburg ID 83440-2048. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kennedy, David A can be contacted via phone (208) 359-6487.

Contact Information

Primary practice address
450 E Main St Rexburg ID 83440-2048
Phone: (208) 359-6487
Fax: (208) 359-6467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P6652 Idaho

Profile Details

NPI number 1609277482
LBN Legal business name Kennedy, David A
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2014
Last updated Sep 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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