Healthcare Provider Details

I. General information

NPI: 1780936526
Provider Name (Legal Business Name): GINGER ALLISON KESLER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2012
Last Update Date: 10/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 BLACKBURN DR
LITTLE ROCK AR
72211-2168
US

IV. Provider business mailing address

123 BLACKBURN DR
LITTLE ROCK AR
72211-2168
US

V. Phone/Fax

Practice location:
  • Phone: 501-837-8113
  • Fax: 501-225-6154
Mailing address:
  • Phone: 501-837-8113
  • Fax: 501-225-6154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPD09868
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: