Provider Demographics
NPI:1639686561
Name:KIRN, LINDSEY DAUGHERTY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:DAUGHERTY
Last Name:KIRN
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 1:39 BLUFF MOUNTAIN DR SW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-4156
Mailing Address - Country:US
Mailing Address - Phone:706-461-3297
Mailing Address - Fax:
Practice Address - Street 1:5679 APPALACHIAN HWY
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-4202
Practice Address - Country:US
Practice Address - Phone:706-632-3654
Practice Address - Fax:706-632-3968
Is Sole Proprietor?:No
Enumeration Date:2017-12-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist