NPI 1023640240

John Kenney

Practitioner Pharmacist Mandeville, LA

Practice location

Address: 4330 Highway 22, Mandeville, LA 70471-3317
Phone: (985) 674-1622

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PST.023082 (LA)

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Registry record

NPI: 1023640240
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2020
Record last updated: 5 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.