Individual
KAITLYN KENNEDY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1909 US HIGHWAY 82 W STE 11, TIFTON, GA 31793-8213
(229) 256-2411
(229) 256-2488
Mailing address
1909 US HIGHWAY 82 W STE 11, TIFTON, GA 31793-8213
(229) 256-2411
(229) 256-2488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029672
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029672
PHARMACIST LICENSE
GA
Enumeration date
12/23/2020
Last updated
12/23/2020
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