Brandon Allen Kenworthy, | |
118 S Vine St, Arthur, IL 61911-1334 | |
(217) 543-2913 | |
Not Available |
Full Name | Brandon Allen Kenworthy |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 118 S Vine St, Arthur, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477012599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 051291918 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Brandon Allen Kenworthy, 118 S Vine St, Arthur, IL 61911-1334 Ph: (217) 543-2913 | Brandon Allen Kenworthy, 118 S Vine St, Arthur, IL 61911-1334 Ph: (217) 543-2913 |
Katilyn Nihiser, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 122 S Walnut St, Arthur, IL 61911 Phone: 217-543-2913 | |
Dolores Climaco Herschberger, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 118 S Vine St, Arthur, IL 61911 Phone: 217-543-2913 Fax: 217-543-2943 |