Provider Demographics
NPI:1356941892
Name:CHAMBERS, KARI (RPH)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 UDALL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:KS
Mailing Address - Zip Code:66771-3001
Mailing Address - Country:US
Mailing Address - Phone:316-650-7988
Mailing Address - Fax:
Practice Address - Street 1:2710 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-2625
Practice Address - Country:US
Practice Address - Phone:620-231-1404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-12624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist