Provider Demographics
NPI:1316228778
Name:NIEMANN, KATHERINE NICOLE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:NICOLE
Last Name:NIEMANN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:NICOLE
Other - Last Name:FREUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:440 N ANDOVER RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9508
Mailing Address - Country:US
Mailing Address - Phone:316-218-0819
Mailing Address - Fax:316-218-0320
Practice Address - Street 1:440 N ANDOVER RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9508
Practice Address - Country:US
Practice Address - Phone:316-218-0819
Practice Address - Fax:316-218-0320
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist