Provider Demographics
NPI:1457647224
Name:REES, KARA
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:REES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24646 BROOKPARK RD
Mailing Address - Street 2:T-2016
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3482
Mailing Address - Country:US
Mailing Address - Phone:440-414-0010
Mailing Address - Fax:440-414-0010
Practice Address - Street 1:24646 BROOKPARK RD
Practice Address - Street 2:T-2016
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3482
Practice Address - Country:US
Practice Address - Phone:440-414-0010
Practice Address - Fax:440-414-0010
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03325707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist