Provider Demographics
NPI:1598495970
Name:HOUSEMAN, KENDRA LYNN (CPHT)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:LYNN
Last Name:HOUSEMAN
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3885 UNION DEPOSIT RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5920
Mailing Address - Country:US
Mailing Address - Phone:717-558-9407
Mailing Address - Fax:717-558-9202
Practice Address - Street 1:3885 UNION DEPOSIT RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5920
Practice Address - Country:US
Practice Address - Phone:717-558-9407
Practice Address - Fax:717-558-9202
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician