MEDICARE: KRISTINA MCCONNELL PHARMD

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	1-16799	KS

General Provider Information

NPI Number	:	1851940688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA MCCONNELL PHARMD

Provider Business Mailing Address
First Line	:	5294 N ROCK SPRING ST
Second Line	:
City	:	BEL AIRE
State	:	KS
Zip	:	67226-1120
Country	:	US
Telephone Number	:	402-750-2791
Fax Number	:

Provider Business Practice Location Address
First Line	:	2740 N REGENCY PARK
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67226-4527
Country	:	US
Telephone Number	:	402-750-2791
Fax Number	:

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

Provider Enumeration Date	:	09/04/2019
Last Update Date	:	09/04/2019

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Directions to “ KRISTINA MCCONNELL PHARMD” Practice Location

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