Provider Demographics
NPI:1083749956
Name:UPCHURCH, KARA G (PHARM TECH)
Entity Type:Individual
Prefix:MISS
First Name:KARA
Middle Name:G
Last Name:UPCHURCH
Suffix:
Gender:F
Credentials:PHARM TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3135 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37367
Mailing Address - Country:US
Mailing Address - Phone:423-447-2434
Mailing Address - Fax:423-447-6151
Practice Address - Street 1:3135 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37367
Practice Address - Country:US
Practice Address - Phone:423-447-2434
Practice Address - Fax:423-447-6151
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN170106733482122247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other