# KENDALL THERESA KOOSER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093592057
- **Gender:** F
- **Credential:** PHARMD, CPP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | RP457945 | PA | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 700622 | NC | Yes |

## Other

- **Enumeration date:** 09/13/2023
- **Last updated:** 10/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1093592057 | — | NC |