Provider Demographics
NPI:1326333980
Name:BATES, KERI BARNES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KERI
Middle Name:BARNES
Last Name:BATES
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 1:2271 LIME ROCK RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3329
Mailing Address - Country:US
Mailing Address - Phone:205-919-8990
Mailing Address - Fax:
Practice Address - Street 1:3346 MORGAN DR
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-3052
Practice Address - Country:US
Practice Address - Phone:205-259-7100
Practice Address - Fax:205-259-7101
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-12
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist