Individual
KIMBERLY BREEDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
567 IVY TECH DR, MADISON, IN 47250-1802
(812) 273-6338
Mailing address
501 S INDIAN CAVE RD, MADISON, IN 47250-9202
(812) 701-3113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
018248
KY
183500000X
Pharmacist
Primary
26018080A
IN
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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