Provider Demographics
NPI:1194609081
Name:HOWARD, KRISTEN SHEA (PHARMD)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:SHEA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:SHEA
Other - Last Name:CAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:148 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:TN
Mailing Address - Zip Code:38011-4225
Mailing Address - Country:US
Mailing Address - Phone:901-258-2347
Mailing Address - Fax:
Practice Address - Street 1:201 LANNY BRIDGES AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TN
Practice Address - Zip Code:38019-1615
Practice Address - Country:US
Practice Address - Phone:901-476-4648
Practice Address - Fax:901-476-3275
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD17443183500000X
TN48865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist