Provider Demographics
NPI:1003163585
Name:HOWIE, KENNETH W (RPH)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:W
Last Name:HOWIE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7515 PERKINS RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4330
Mailing Address - Country:US
Mailing Address - Phone:225-769-6084
Mailing Address - Fax:225-767-7300
Practice Address - Street 1:7515 PERKINS RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4330
Practice Address - Country:US
Practice Address - Phone:225-769-6084
Practice Address - Fax:225-767-7300
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist