Healthcare Provider Details

I. General information

NPI: 1669302428
Provider Name (Legal Business Name): ABIGAIL C WEEKS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 DONNERMEYER DR
BELLEVUE KY
41073-1352
US

IV. Provider business mailing address

100 AQUA WAY APT 320
NEWPORT KY
41071-2663
US

V. Phone/Fax

Practice location:
  • Phone: 859-491-0302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number023780
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: