Kelly Jo Field, PHARMD.
Individual provider Active NPI Pharmacist · Ripon, WI
NPI 1982928743 · NPPES record last updated Mar 23, 2010
Key facts
- NPI
- 1982928743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14227-040 (WI)
- Practice address
- 328 Watson St
Ripon, WI 54971-1517 - Phone
- (920) 748-5174
- Fax
- (920) 748-2066
- NPI assigned
- Mar 23, 2010
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14227-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ripon Drug Management Enterprises Inc | Past |
Accepting new patients | |
| Ripon Drug Management Enterprises Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14227-040 | WI | Yes |
Addresses
Primary practice location
328 Watson St
Ripon, WI 54971-1517
Mailing address
328 Watson St
Ripon, WI 54971-1517
Phone (920) 748-5174
Other providers in Ripon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2010. 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.