Healthcare Provider Details

I. General information

NPI: 1528132446
Provider Name (Legal Business Name): KYLEE PIERCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5892 TRUSSVILLE CROSSING PKWY
BIRMINGHAM AL
35235-8633
US

IV. Provider business mailing address

4212 WATERFORD LN
TRUSSVILLE AL
35173-1587
US

V. Phone/Fax

Practice location:
  • Phone: 205-228-0080
  • Fax:
Mailing address:
  • Phone: 205-655-3908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10648
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: