Provider Demographics
NPI:1598157471
Name:COVERLY, KRISTIN HECK (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:HECK
Last Name:COVERLY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9983 FIELDCREST DR
Mailing Address - Street 2:
Mailing Address - City:APISON
Mailing Address - State:TN
Mailing Address - Zip Code:37302
Mailing Address - Country:US
Mailing Address - Phone:423-802-7027
Mailing Address - Fax:
Practice Address - Street 1:8530 HIXSON PIKE
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-1693
Practice Address - Country:US
Practice Address - Phone:423-843-1773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist