Healthcare Provider Details

I. General information

NPI: 1609809862
Provider Name (Legal Business Name): KERIANNE DENISE SEKARSKI B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HOSPITAL DR
COLUMBIA MO
65201-5275
US

IV. Provider business mailing address

9955 E OWENS SCHOOL RD
HALLSVILLE MO
65255-9395
US

V. Phone/Fax

Practice location:
  • Phone: 573-814-6534
  • Fax:
Mailing address:
  • Phone: 573-696-0678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2001020426
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: