Provider Demographics
NPI:1194076893
Name:KESSINGER, DENISE MARIE (RPH)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:KESSINGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:MARIE
Other - Last Name:KESSINGER HUGGINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:951 PALOMAR AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-1110
Mailing Address - Country:US
Mailing Address - Phone:760-929-0287
Mailing Address - Fax:
Practice Address - Street 1:951 PALOMAR AIRPORT RD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-1110
Practice Address - Country:US
Practice Address - Phone:760-929-0287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist