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NPI Code Detail

MEDICARE: KENDRA YVONNE BEARDEN PHARMD

MEDICARE: KENDRA YVONNE BEARDEN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPD12016AR

General Provider Information

NPI Number : 1346505344
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA YVONNE BEARDEN PHARMD
Provider Business Mailing Address
First Line : 7 OXFORD RUN CT
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-1867
Country : US
Telephone Number : 501-613-5528
Fax Number :
Provider Business Practice Location Address
First Line : 3901 W MARKHAM ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-5527
Country : US
Telephone Number : 501-664-6017
Fax Number : 501-664-6074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2012
Last Update Date : 07/06/2012

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