MEDICARE: MR. KENNY H HO RPH, MBA

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
1	183500000X	Pharmacist	22784	TX

General Provider Information

NPI Number	:	1437142049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KENNY H HO RPH, MBA

Provider Business Mailing Address
First Line	:	PO BOX 523
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77497-0523
Country	:	US
Telephone Number	:	713-495-3716
Fax Number	:

Provider Business Practice Location Address
First Line	:	7550 OFFICE CITY DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77012-4115
Country	:	US
Telephone Number	:	713-495-3741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	07/08/2007

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