Healthcare Provider Details

I. General information

NPI: 1053957217
Provider Name (Legal Business Name): KATHRYN KIRMSE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHRYN CERNEY PHARMD

II. Dates (important events)

Enumeration Date: 11/22/2019
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 COTTAGE GROVE RD
MADISON WI
53718-1300
US

IV. Provider business mailing address

7133 FIELD FLOWER WAY
MADISON WI
53718-3431
US

V. Phone/Fax

Practice location:
  • Phone: 608-223-0951
  • Fax: 608-223-0976
Mailing address:
  • Phone: 715-641-0744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number17877-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: