Provider Demographics
NPI:1619180031
Name:KARN, KERRY RONALD (RPH)
Entity Type:Individual
Prefix:MR
First Name:KERRY
Middle Name:RONALD
Last Name:KARN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11010 E ROSCOMMON PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-8824
Mailing Address - Country:US
Mailing Address - Phone:520-349-8589
Mailing Address - Fax:
Practice Address - Street 1:1225 W IRVINGTON RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714-1167
Practice Address - Country:US
Practice Address - Phone:520-295-3608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ109071835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy