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1992111447 NPI number — KIMBERLY BIERENS PHARM.D.

NPI Number: 1992111447
Health Care Provider/Practitioner: KIMBERLY BIERENS PHARM.D.

Information about “1992111447” NPI (KIMBERLY BIERENS PHARM.D.) exists in 1992111447 in HTML format HTML  |  1992111447 in plain Text format TXT  |  1992111447 in PDF (Portable Document Format) PDF  |  1992111447 in an XML format XML  formats.

NPI Number : 1992111447 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992111447",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BIERENS",
    "FirstName": "KIMBERLY",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARM.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "THAYER",
    "OtherFirstName": "KIMBERLY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHARM,D,",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1921 FRANKFORT AVE",
    "SecondLineMailingAddress": "#3",
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40206-3084",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-609-4892",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3600 MALL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40218-5403",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-456-1441",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/05/2014",
    "LastUpdateDate": "07/05/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "017011",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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