Provider Demographics
NPI:1013117712
Name:FROST, KENDALL MCMULLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KENDALL
Middle Name:MCMULLEN
Last Name:FROST
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1484 RUBEN TORRES SR BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-1537
Mailing Address - Country:US
Mailing Address - Phone:956-541-0167
Mailing Address - Fax:
Practice Address - Street 1:1484 RUBEN TORRES SR BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1537
Practice Address - Country:US
Practice Address - Phone:956-541-0167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48373183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist