Individual ProviderKris Kent BauernsmithPharmacistPharmacy Service ProvidersPractice Address40950 N Ironwood Dr, Queen Creek, AZ 85140-8915(480) 758-3316(480) 758-3320PECOS EnrollmentBased on the most recent information from CMS, provider Kris Kent Bauernsmith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790445005Provider TypeIndividualFull NameBauernsmith, Kris KentTitleDr.CredentialRPHGenderMaleSole ProprietorYesEnumeration Date12/28/2021Last Updated12/28/2021Contact InformationPractice LocationPractice Address40950 N Ironwood Dr, Queen Creek, AZ 85140-8915Phone(480) 758-3316FaxUnlisted FaxMailing LocationMailing Address40950 N Ironwood Dr, Queen Creek, AZ 85140-8915Phone(480) 758-3320FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseS025684Arizona