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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLEY BEVAN

Active Sole Proprietor

KIMBERLEY BEVAN is a Pharmacist healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1518384643 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · OCONOMOWOC, WI

Registration Details

NPI Number
1518384643
Provider Type
Individual
Gender
Female
NPI Issued
Mar 26, 2014 (12.39732236244 yrs)
Last Updated
Mar 26, 2014
Licenses
10040-40 (WI)
03-2-14081 (OH)
Sole Proprietor
Yes

Practice Information

Address
1284 EAST SUMMIT AVENUE
SUITE 100
OCONOMOWOC, WI, 53066
Browse WI providers · Browse ZIP 53066
Phone
2625698204
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in OCONOMOWOC, WI

Name Credential NPI
MRS. MARGARET ANNE DARE RPH 1366433963
MR. PHILIP LEWIS LUTGEN R.PH. 1598967952
BRIAN T WOJCZAK 1285949214
STEPHANIE LYNN BONDIOLI RPH 1033490180
MR. KENT W STULTZ RPH 1841573896
HEATHER GERSHTEYN PHARM.D. 1912281932
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.