Provider Demographics
NPI:1902174113
Name:HOARTY, KATHRYN GRACE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:GRACE
Last Name:HOARTY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 N HICKORY DR
Mailing Address - Street 2:APT 1020
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155
Mailing Address - Country:US
Mailing Address - Phone:816-547-1354
Mailing Address - Fax:
Practice Address - Street 1:9700 N CEDAR AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157-6209
Practice Address - Country:US
Practice Address - Phone:816-415-9918
Practice Address - Fax:816-415-9903
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006030877183500000X
KS1-14609183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist