Healthcare Provider Details

I. General information

NPI: 1306114350
Provider Name (Legal Business Name): KIMBERLY YEE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9458 HELENA RD
PELHAM AL
35124-2743
US

IV. Provider business mailing address

9458 HELENA RD
PELHAM AL
35124-2743
US

V. Phone/Fax

Practice location:
  • Phone: 205-444-9488
  • Fax: 205-989-8478
Mailing address:
  • Phone: 205-444-9488
  • Fax: 205-989-8478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13600
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03-3-20288
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: