Provider Demographics
NPI:1215228366
Name:RATCLIFF, KIMBERLY LEANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:LEANN
Last Name:RATCLIFF
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 1:1615 WENONAH AVE
Mailing Address - Street 2:
Mailing Address - City:PEARISBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24134-1839
Mailing Address - Country:US
Mailing Address - Phone:540-921-3000
Mailing Address - Fax:540-921-3002
Practice Address - Street 1:1615 WENONAH AVE
Practice Address - Street 2:
Practice Address - City:PEARISBURG
Practice Address - State:VA
Practice Address - Zip Code:24134-1839
Practice Address - Country:US
Practice Address - Phone:540-921-3000
Practice Address - Fax:540-921-3002
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist