M Lisa Kim

Primary specialty

PharmacistTaxonomy code 183500000X

License

051285871 Issued in IL

Practice address

1700 Saddleridge CT
Washington, IL 61571

Phone

(309) 648-0922

NPI assigned

Oct 15, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1871878371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SADDLERIDGE CT",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712290",
            "telephone_number": "309-648-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SADDLERIDGE CT",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "61571",
            "telephone_number": "309-648-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "M LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051285871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Michele Keister, MSW, LSW
• Suzanne Kelley
• Mallory Kelly, M.D.
• Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC
• Carrie A Kerr, M.S., CCC-SLP/L
• Lee T Kinsinger, MD
• Lisa Kirker, PT
• Joseph Ervin Knight, R.PH.
• Breanna Suzette Hall Knowles, BCABA
• Kreg Therapeutics, Inc.

• Pharmacist in Washington, IL
• Providers in Washington, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.