Healthcare Provider Details

I. General information

NPI: 1730557125
Provider Name (Legal Business Name): DR. KAREN L KIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN L HILLEGASS RPH

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 09/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 S MAIN ST COLLEGE OF PHARMACY, OHIO NORTHERN UNIVERSITY
ADA OH
45810-6000
US

IV. Provider business mailing address

525 S MAIN ST COLLEGE OF PHARMACY, OHIO NORTHERN UNIVERSITY
ADA OH
45810-6000
US

V. Phone/Fax

Practice location:
  • Phone: 419-772-2285
  • Fax: 419-772-1917
Mailing address:
  • Phone: 419-772-2285
  • Fax: 419-772-1917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number03114804
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: