Provider Demographics
NPI:1952170599
Name:SCHOVE, KATE HALL
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:HALL
Last Name:SCHOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:SARDIS
Mailing Address - State:MS
Mailing Address - Zip Code:38666-0115
Mailing Address - Country:US
Mailing Address - Phone:662-857-5173
Mailing Address - Fax:
Practice Address - Street 1:411 E LEE ST
Practice Address - Street 2:
Practice Address - City:SARDIS
Practice Address - State:MS
Practice Address - Zip Code:38666-1227
Practice Address - Country:US
Practice Address - Phone:662-857-5173
Practice Address - Fax:662-857-5163
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-22
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-09004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist