Provider Demographics
NPI:1235376351
Name:KIRKEBY, RENEE M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:M
Last Name:KIRKEBY
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 1:913 HOPKINS CENTER
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-7533
Mailing Address - Country:US
Mailing Address - Phone:952-938-2719
Mailing Address - Fax:952-938-1147
Practice Address - Street 1:913 HOPKINS CENTER
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-7533
Practice Address - Country:US
Practice Address - Phone:952-938-2719
Practice Address - Fax:952-938-1147
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist