Provider Demographics
NPI:1457634941
Name:KUNG, KERRY (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:
Last Name:KUNG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-4305
Mailing Address - Country:US
Mailing Address - Phone:603-668-7924
Mailing Address - Fax:603-668-9778
Practice Address - Street 1:606 VALLEY ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-4305
Practice Address - Country:US
Practice Address - Phone:603-668-7924
Practice Address - Fax:603-668-9778
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH26065183500000X
NH3423183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist