| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BREANNA KENNON | 1730769126 | 2021-04-10 |
Breanna Kennon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1730769126. Registration indicates Breanna Kennon is a provider of services with a specialization in Pharmacy Service Providers, Pharmacy Technician (Pharmacy Technician, ) (Pharmacy Technician, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Breanna Kennon |
| Practice Office Address | 9900 WURZBACH RD SAN ANTONIO, TX US |
| Practice Office Telephone | 2106961073 |
| Mailing Address | 9900 WURZBACH RD SAN ANTONIO, TX 782302212 US |
| Business Telephone | 2106961073 |
| Code | Practice | License No State |
|---|---|---|
| 183700000X PRIMARY | Pharmacy Service Providers Pharmacy Technician Pharmacy Technician Pharmacy Technician Pharmacy Service Providers |