Healthcare Provider Details

I. General information

NPI: 1114847787
Provider Name (Legal Business Name): KENDALL KERR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 ASHLEY AVE
CHARLESTON SC
29425-8908
US

IV. Provider business mailing address

210 PROMENADE VISTA ST UNIT 4122
CHARLESTON SC
29412-2242
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-4460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48982
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70068
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67807
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: