Individual
KIMBERLY WHITE-FAULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1450 EASTSIDE RD, SUITE 130, PLATTEVILLE, WI 53818-9800
(608) 342-6200
Mailing address
1450 EASTSIDE RD, SUITE 130, PLATTEVILLE, WI 53818-9800
(608) 342-6200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12164-40
WI
183500000X
Pharmacist
20089
IA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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