Kennedy, Mark Thomas

Kennedy, Mark Thomas is an individual health care provider with primary practice located at 223 S Lakeshore Dr , Lake City MN 55041-1642. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kennedy, Mark Thomas can be contacted via phone (651) 345-3411.

Contact Information

Primary practice address
223 S Lakeshore Dr Lake City MN 55041-1642
Phone: (651) 345-3411
Fax: (651) 345-4848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 113768 Minnesota

Profile Details

NPI number 1831727395
LBN Legal business name Kennedy, Mark Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2020
Last updated Mar 31st, 2020 - about 6 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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