Provider Demographics
NPI:1528663200
Name:SANNING, KIRSTEN JOY (RPH)
Entity type:Individual
Prefix:MS
First Name:KIRSTEN
Middle Name:JOY
Last Name:SANNING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7591 S HARRISON WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3503
Mailing Address - Country:US
Mailing Address - Phone:303-915-8029
Mailing Address - Fax:480-314-6389
Practice Address - Street 1:2101 N URSULA ST UNIT 35
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7449
Practice Address - Country:US
Practice Address - Phone:303-364-1139
Practice Address - Fax:480-314-6389
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist