Provider Demographics
NPI:1114359189
Name:BENDLIN, KAYLI ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLI
Middle Name:ANN
Last Name:BENDLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:KAYLI
Other - Middle Name:ANN
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4101 WOOLWORTH AVE.-MAILSTOP 119
Mailing Address - Street 2:VA MEDICAL CENTER-PHARMACY DEPARTMENT
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105
Mailing Address - Country:US
Mailing Address - Phone:402-995-4248
Mailing Address - Fax:
Practice Address - Street 1:4101 WOOLWORTH AVE.-MAILSTOP 119
Practice Address - Street 2:VA MEDICAL CENTER-PHARMACY DEPARTMENT
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105
Practice Address - Country:US
Practice Address - Phone:402-995-4248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist