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NPI Code Detail

MEDICARE: MRS. KENYA A FRAZIER

MEDICARE: MRS. KENYA A FRAZIER
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist9563TN

General Provider Information

NPI Number : 1912207119
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KENYA A FRAZIER
Provider Business Mailing Address
First Line : 2632 FRAYSER BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38127-5829
Country : US
Telephone Number : 901-353-8284
Fax Number : 901-353-8285
Provider Business Practice Location Address
First Line : 2632 FRAYSER BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38127-5829
Country : US
Telephone Number : 901-353-8284
Fax Number : 901-353-8285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2010
Last Update Date : 02/26/2020

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Directions to “ MRS. KENYA A FRAZIER ” Practice Location

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