Kimberly Keyes
Individual provider Active NPI Pharmacist · Hiawassee, GA
NPI 1821407487 · NPPES record last updated Aug 28, 2020
Key facts
- NPI
- 1821407487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH025310 (GA)
- Practice address
- 94 N Main St
Hiawassee, GA 30546-2254 - Phone
- (706) 896-4489
- Fax
- (706) 896-4491
- NPI assigned
- Aug 7, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| RPH025310 | GA | MD | Pharmacist |
| 20722 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past |
Accepting new patients | |
| Ingles Markets Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20722 | NC | |
| Pharmacist | 183500000X | RPH025310 | GA | Yes |
Addresses
Primary practice location
94 N Main St
Hiawassee, GA 30546-2254
Mailing address
94 N Main St
Hiawassee, GA 30546-2254
Phone (706) 896-4489
Other providers in Hiawassee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2020. 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.