Provider Demographics
NPI:1972976801
Name:MCAFEE, KAITLYN KROLL (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:KROLL
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:MICHELLE
Other - Last Name:KROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 1274
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-1274
Mailing Address - Country:US
Mailing Address - Phone:231-903-9233
Mailing Address - Fax:
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-2411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist