Provider Demographics
NPI:1841732203
Name:VANDENBERG, KATHARINE (PHARMD)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:VANDENBERG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:
Other - Last Name:KLEINSCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1650 MURFREESBORO RD STE 216
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5081
Mailing Address - Country:US
Mailing Address - Phone:615-550-7143
Mailing Address - Fax:833-296-3101
Practice Address - Street 1:1650 MURFREESBORO RD STE 216
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5081
Practice Address - Country:US
Practice Address - Phone:615-550-7143
Practice Address - Fax:833-296-3101
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000040540183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist