DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH BRADLEY BUSH II, RPH

Active

MR. KENNETH BRADLEY BUSH II, RPH is a Pharmacist Clinician (PhC) healthcare provider located in SOUTHAVEN, Mississippi. NPI 1093354649 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · SOUTHAVEN, MS

Registration Details

NPI Number
1093354649
Provider Type
Individual
Gender
Male
NPI Issued
Dec 31, 2019 (6.5928018193916 yrs)
Last Updated
Mar 17, 2020
License
E-8208 (MS)

Practice Information

Address
3095 GOODMAN RD E
SOUTHAVEN, MS, 386728707
Browse MS providers · Browse ZIP 38672
Phone
6625363743
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in SOUTHAVEN, MS

Name Credential NPI
ALICIA G SIMS PHARM D 1821398025
CHRISTOPHER BRUNSON 1801433859
JASON SESTI 1902443963
JAMES EDDLEMON 1720626161
JEFF PORTER RPH 1881282358
CALLIE MARIE NEWMAN RPH 1528935921
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.