Individual
KATHY K KERSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2401 AVONDALE HASLET RD, HASLET, TX 76052-3221
(817) 302-1731
Mailing address
605 BAREBACK LN, FORT WORTH, TX 76131-3121
(806) 336-1402
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
024627
TX
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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