Provider Demographics
NPI:1679947873
Name:SERAFIN, KATELYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:
Last Name:SERAFIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:SERAFIN-SLUGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4701 TOWN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-2037
Mailing Address - Country:US
Mailing Address - Phone:913-469-4014
Mailing Address - Fax:
Practice Address - Street 1:4701 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-2037
Practice Address - Country:US
Practice Address - Phone:913-469-4014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-16784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist