Provider Demographics
NPI:1275564676
Name:KENNEDY-NORRIS, SHARON ANN (PHARMD,, CACP, CGP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:KENNEDY-NORRIS
Suffix:
Gender:F
Credentials:PHARMD,, CACP, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 TOWNSHIP ROAD 116
Mailing Address - Street 2:
Mailing Address - City:KITTS HILL
Mailing Address - State:OH
Mailing Address - Zip Code:45645-8691
Mailing Address - Country:US
Mailing Address - Phone:740-643-0824
Mailing Address - Fax:
Practice Address - Street 1:1540 SPRING VALLEY DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704-9300
Practice Address - Country:US
Practice Address - Phone:304-429-6755
Practice Address - Fax:304-429-0268
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-185961835P1200X
KY0114511835P1200X
WVRP00059021835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy