Provider Demographics
NPI:1417787433
Name:WENTHE, KATHRYN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:WENTHE
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:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:LUCAS
Mailing Address - State:KS
Mailing Address - Zip Code:67648-0404
Mailing Address - Country:US
Mailing Address - Phone:785-324-2858
Mailing Address - Fax:
Practice Address - Street 1:2701 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:ARKANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:67005-8813
Practice Address - Country:US
Practice Address - Phone:620-442-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-113931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist