Individual
KIM PATRICK BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1280 HWY. 95A NORTH, FERNLEY, NV 89408
(775) 835-6427
(775) 835-6158
Mailing address
1280 HWY. 95A NORTH, FERNLEY, NV 89408
(775) 835-6427
(775) 835-6158
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14755
NV
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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