Provider Demographics
NPI:1013147115
Name:CHRISTENSON, KATHRYN CORTNEY HUDGENS (PHARMD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:CORTNEY HUDGENS
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:CORTNEY
Other - Last Name:HUDGENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10 PITTS SCHOOL RD SW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027
Mailing Address - Country:US
Mailing Address - Phone:704-795-0091
Mailing Address - Fax:704-795-0106
Practice Address - Street 1:10 PITTS SCHOOL RD SW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027
Practice Address - Country:US
Practice Address - Phone:704-795-0091
Practice Address - Fax:704-795-0106
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17822183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist