Provider Demographics
NPI:1053323717
Name:KENNY, CATHERINE E (RPH)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:KENNY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3090 W MARKET ST
Mailing Address - Street 2:KAISER PERMANENTE
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3608
Mailing Address - Country:US
Mailing Address - Phone:330-873-4893
Mailing Address - Fax:
Practice Address - Street 1:3090 W MARKET ST
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3608
Practice Address - Country:US
Practice Address - Phone:330-873-4893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-16564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist