Kimberly Dunaway
Individual provider Active NPI Pharmacist · Boaz, AL
NPI 1356861306 · NPPES record last updated Jun 21, 2017
Key facts
- NPI
- 1356861306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12228 (AL)
- Practice address
- 1972 US Highway 431
Boaz, AL 35957-5901 - Phone
- (256) 593-0495
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12228 | AL | MD | Pharmacist |
| 014780 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 014780 | KY | |
| Pharmacist | 183500000X | 12228 | AL | Yes |
Addresses
Primary practice location
1972 US Highway 431
Boaz, AL 35957-5901
Mailing address
1972 US Highway 431
Boaz, AL 35957-5901
Phone (256) 593-0495
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.