Kenneth D Simon Valid NPI
Individual provider · Pharmacist · La Crosse, WI
- NPI
- 1497008239
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 9813-40 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-10-17
- Last updated
- 2012-10-17
Practice location
2511 Green Bay St
La Crosse, WI 54601-5900
(608) 775-8585