Provider Demographics
NPI:1841270501
Name:RUNNINGER, KATHYANNE PARKER (CPHT)
Entity type:Individual
Prefix:MRS
First Name:KATHYANNE
Middle Name:PARKER
Last Name:RUNNINGER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 AMES ST
Mailing Address - Street 2:
Mailing Address - City:ONANCOCK
Mailing Address - State:VA
Mailing Address - Zip Code:23417-1804
Mailing Address - Country:US
Mailing Address - Phone:757-787-3784
Mailing Address - Fax:
Practice Address - Street 1:3 AMES ST
Practice Address - Street 2:
Practice Address - City:ONANCOCK
Practice Address - State:VA
Practice Address - Zip Code:23417-1804
Practice Address - Country:US
Practice Address - Phone:757-787-3784
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0230001061183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician