Provider Demographics
NPI:1750742821
Name:SEIFERT, KATHERINE LEE (RPH)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LEE
Last Name:SEIFERT
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 1:1036 WATERBURY LN
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3842
Mailing Address - Country:US
Mailing Address - Phone:805-218-8148
Mailing Address - Fax:
Practice Address - Street 1:1036 WATERBURY LN
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-3842
Practice Address - Country:US
Practice Address - Phone:805-218-8148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1124581835N0905X
ND35271835N0905X
NH20231835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear