Provider Demographics
NPI:1417150897
Name:ORR, KATHERINE KELLY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:KELLY
Last Name:ORR
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 1:408 CAROLINA BACK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-3806
Mailing Address - Country:US
Mailing Address - Phone:401-364-0603
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF RHODE ISLAND COLLEGE OF PHARMACY
Practice Address - Street 2:44 LOWER COLLEGE RD.
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881
Practice Address - Country:US
Practice Address - Phone:401-874-5522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI04237183500000X
CT9703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist