Provider Demographics
NPI:1518247477
Name:TESTERMAN, KRISTIAN ELIZABETH KLEMINSKY (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:ELIZABETH KLEMINSKY
Last Name:TESTERMAN
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 1:409 SAINT CLAIR AVE SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5120
Mailing Address - Country:US
Mailing Address - Phone:256-518-9530
Mailing Address - Fax:
Practice Address - Street 1:409 SAINT CLAIR AVE SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5120
Practice Address - Country:US
Practice Address - Phone:256-518-9530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist