Provider Demographics
NPI:1699364935
Name:LAMMERS, KANGSAN CHOI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KANGSAN
Middle Name:CHOI
Last Name:LAMMERS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:LAMMERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:805 N WHITTINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-7101
Mailing Address - Country:US
Mailing Address - Phone:513-404-0821
Mailing Address - Fax:
Practice Address - Street 1:5519 SOCIALVILLE FOSTER RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-8091
Practice Address - Country:US
Practice Address - Phone:513-404-0821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032263961835G0303X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric