Provider Demographics
NPI:1821162777
Name:KIRSCHBAUM, KAREN A (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:KIRSCHBAUM
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10501 SHADOW RIDGE LN
Mailing Address - Street 2:APT #104
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-5411
Mailing Address - Country:US
Mailing Address - Phone:502-562-4109
Mailing Address - Fax:502-562-3655
Practice Address - Street 1:530 SOUTH JACKSON STREET
Practice Address - Street 2:PHARMACY DEPARTMENT - 712
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-562-4109
Practice Address - Fax:502-562-3655
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0128531835P1200X
WVRP00057421835P1200X
TX373991835P1200X
TN00000095171835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy