Healthcare Provider Details

I. General information

NPI: 1902174113
Provider Name (Legal Business Name): KATHRYN GRACE HOARTY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 04/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9700 N CEDAR AVE
KANSAS CITY MO
64157-6209
US

IV. Provider business mailing address

8701 N HICKORY DR APT 1020
KANSAS CITY MO
64155
US

V. Phone/Fax

Practice location:
  • Phone: 816-415-9918
  • Fax: 816-415-9903
Mailing address:
  • Phone: 816-547-1354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2006030877
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-14609
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: