Provider Demographics
NPI:1750676540
Name:DOVE, KYNDRA JONES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KYNDRA
Middle Name:JONES
Last Name:DOVE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5319 MOUNT VIEW RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-7323
Mailing Address - Country:US
Mailing Address - Phone:615-974-4930
Mailing Address - Fax:615-731-9998
Practice Address - Street 1:5319 MOUNT VIEW RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-7323
Practice Address - Country:US
Practice Address - Phone:615-974-4930
Practice Address - Fax:615-731-9998
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN118501835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy