Provider Demographics
NPI:1649251141
Name:KAYDEN, ROBERT STEPHEN JR (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:STEPHEN
Last Name:KAYDEN
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 LETORT RD
Mailing Address - Street 2:
Mailing Address - City:CONESTOGA
Mailing Address - State:PA
Mailing Address - Zip Code:17516-9311
Mailing Address - Country:US
Mailing Address - Phone:717-872-9267
Mailing Address - Fax:717-581-4435
Practice Address - Street 1:1109 LETORT RD
Practice Address - Street 2:
Practice Address - City:CONESTOGA
Practice Address - State:PA
Practice Address - Zip Code:17516-9311
Practice Address - Country:US
Practice Address - Phone:717-872-9267
Practice Address - Fax:717-581-4435
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030099L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist