Provider Demographics
NPI:1538156757
Name:SAUNDERS, KENNETH L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:L
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 N 157TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-2029
Mailing Address - Country:US
Mailing Address - Phone:402-493-1223
Mailing Address - Fax:
Practice Address - Street 1:2631 N 157TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-2029
Practice Address - Country:US
Practice Address - Phone:402-493-1223
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE97521835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy