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

MR. KENNETH RAYMOND BELLISLE, R.PH

Active Sole Proprietor

MR. KENNETH RAYMOND BELLISLE, R.PH is a Pharmacist healthcare provider located in HICKAM AFB, Hawaii. NPI 1669623690 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · HICKAM AFB, HI

Registration Details

NPI Number: 1669623690
Provider Type: Individual
Gender: Male
NPI Issued: Oct 8, 2008 (17.815111102015 yrs)
Last Updated: Oct 8, 2008
License: PH-1332 (HI)
Sole Proprietor: Yes

Practice Information

Address: 755 SCOTT CIR

15TH MEDICAL GROUP

HICKAM AFB, HI, 968535399
Browse HI providers · Browse ZIP 96853
Phone: 8084486261
Fax: 8084486740
Primary Specialty: Pharmacist
183500000X

Other Pharmacist Providers in HICKAM AFB, HI

Name	Credential	NPI
DR. MICHAEL JOHNSON HSU	PHARM D	1831424282
MASON ZHANG	—	1972148427

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.