NPI 1104227842
Kenya Destin
Practice location
- Address
- 500 Indiana Ave, Winslow, AZ 86047-2169
- Phone
- (928) 289-6215
- Mailing address
- 5205 E Cortland Blvd APT 342, Flagstaff, AZ 86004-9325
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1104227842
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Sep 2014
- Record last updated
- 12 Sep 2014
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.