Provider Demographics
NPI:1831434414
Name:KESSINGER, DENISE KAY
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:KAY
Last Name:KESSINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 EASTGATE DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-7698
Mailing Address - Country:US
Mailing Address - Phone:803-643-7976
Mailing Address - Fax:
Practice Address - Street 1:250 EASTGATE DR
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-7698
Practice Address - Country:US
Practice Address - Phone:803-643-7976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11748183500000X
GARPH023933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist