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Kenneth Lord Burgess, RPh

Pharmacist in Franklin, VA. Individual provider (NPI-1).

NPI number1336409762
StatusActive
Last updated in NPPESMay 18, 2012

Details

NPI
1336409762
Entity type
Individual (NPI-1)
Name
Mr. Kenneth Lord Burgess
Credential
RPh
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2012
Last updated
May 18, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist0202011980VAYes

Practice location

31370 Whistle Stop Dr
Franklin, VA 23851-3856

Phone 757-653-4154 · Fax 757-569-6341

Mailing address

31370 Whistle Stop Dr
Franklin, VA 23851-3856

Phone 757-653-4154 · Fax 757-569-6341

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