Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY DAWN PUCKETT, PHARMD
Active Sole ProprietorMRS. KIMBERLY DAWN PUCKETT, PHARMD is a Pharmacist healthcare provider located in PONDERAY, Idaho. NPI 1700210085 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PONDERAY, ID
Registration Details
- NPI Number
- 1700210085
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2013 (12.944726370632 yrs)
- Last Updated
- Aug 22, 2013
- License
-
P5173 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 BONNER MALL WAYPONDERAY, ID, 838529748Browse ID providers · Browse ZIP 83852
- Phone
- 2082558066
- Fax
- 2082636623
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in PONDERAY, ID
| Name | Credential | NPI |
|---|---|---|
| AMY MCGRATH | PHARMACIST | 1922415025 |
| BRUCE SPRADLIN | — | 1811398936 |
| VERN STAIRS | RPH | 1346606647 |
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.