Provider Demographics
NPI:1417013913
Name:POINDEXTER, KRISTY FLOWERS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:FLOWERS
Last Name:POINDEXTER
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:PO BOX 904
Mailing Address - Street 2:1477 STATE PARK RD
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-0904
Mailing Address - Country:US
Mailing Address - Phone:270-433-6658
Mailing Address - Fax:
Practice Address - Street 1:331 KEEN STREET
Practice Address - Street 2:
Practice Address - City:BURKESVILLE
Practice Address - State:KY
Practice Address - Zip Code:42717
Practice Address - Country:US
Practice Address - Phone:270-864-1606
Practice Address - Fax:270-864-1608
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013289183500000X
TN26480183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist