Provider Demographics
NPI:1639794704
Name:KINDA, JULIA N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:N
Last Name:KINDA
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 1:466 INDIAN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-8269
Mailing Address - Country:US
Mailing Address - Phone:513-205-4028
Mailing Address - Fax:
Practice Address - Street 1:466 INDIAN LAKE DR
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-8269
Practice Address - Country:US
Practice Address - Phone:513-205-4028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-14
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03237078183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist