Provider Demographics
NPI:1558546796
Name:KIMES, JORDI ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JORDI
Middle Name:ANN
Last Name:KIMES
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 1:2530 CHESTER KIMM RD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8130
Mailing Address - Country:US
Mailing Address - Phone:509-663-7615
Mailing Address - Fax:509-663-7516
Practice Address - Street 1:2530 CHESTER KIMM RD
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-8130
Practice Address - Country:US
Practice Address - Phone:509-663-7615
Practice Address - Fax:509-663-7516
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00064772183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist