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Individual
KENDALL THERESA KOOSER
Active
Individual
KENDALL THERESA KOOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, CPP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP457945
PA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
700622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093592057
—
NC
Enumeration date
09/13/2023
Last updated
10/14/2025
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