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NPI Code Detail

MEDICARE: KATHLEEN KENDRICK PHARM D

MEDICARE: KATHLEEN KENDRICK PHARM D
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
1183500000XPharmacist16941LA

General Provider Information

NPI Number : 1912306713
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN KENDRICK PHARM D
Provider Business Mailing Address
First Line : 3670 W OAK ST
Second Line :
City : JENA
State : LA
Zip : 71342-4474
Country : US
Telephone Number : 318-992-1360
Fax Number : 318-992-1360
Provider Business Practice Location Address
First Line : 3670 W OAK ST
Second Line :
City : JENA
State : LA
Zip : 71342-4474
Country : US
Telephone Number : 318-992-1360
Fax Number : 318-992-1360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2014
Last Update Date : 08/18/2014

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Directions to “ KATHLEEN KENDRICK PHARM D” Practice Location

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