Provider Demographics
NPI:1366741621
Name:DESCHNER, KATHRYN HAAS (PHARMD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:HAAS
Last Name:DESCHNER
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 1:2118 ACKLEN AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3531
Mailing Address - Country:US
Mailing Address - Phone:502-741-5777
Mailing Address - Fax:
Practice Address - Street 1:2118 ACKLEN AVE APT 4
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3531
Practice Address - Country:US
Practice Address - Phone:502-741-5777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000034260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist