Provider Demographics
NPI:1003986738
Name:STIEGLER, KERRY ANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KERRY
Middle Name:ANNE
Last Name:STIEGLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3528 BLACKHORSE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-6055
Mailing Address - Country:US
Mailing Address - Phone:704-553-2569
Mailing Address - Fax:
Practice Address - Street 1:5516 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-2708
Practice Address - Country:US
Practice Address - Phone:704-446-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC175001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy