Provider Demographics
NPI:1063657815
Name:KISER, KATHRYN LOUVEDA (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:LOUVEDA
Last Name:KISER
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
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Mailing Address - Street 1:20 N PINE ST
Mailing Address - Street 2:ROOM 444
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1142
Mailing Address - Country:US
Mailing Address - Phone:410-706-5821
Mailing Address - Fax:410-706-4158
Practice Address - Street 1:16 S EUTAW ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1606
Practice Address - Country:US
Practice Address - Phone:410-328-6779
Practice Address - Fax:410-328-0648
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD188901835P0018X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist