Kennedy, Brian David

Kennedy, Brian David is an sole proprietor 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, Brian David 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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 115760-6 Minnesota

Profile Details

NPI number 1376695247
LBN Legal business name Kennedy, Brian David
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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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