Individual provider · Type 1 NPI

Kaci Boulware Kenon, PharmD

Pharmacist · Alpharetta, GA

NPI number 1508148891 Active

Practice location

3155 Royal Dr
Alpharetta, GA 30022-2475

Call (678) 715-2578 Map

Mailing address

1124 Willow Crest Way
Austell, GA 30168-5734

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH020323 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1508148891

Kaci Boulware Kenon, PharmD's National Provider Identifier is 1508148891, issued on Sep 13, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Alpharetta, GA. The record was last updated on May 29, 2026.