Provider Demographics
NPI:1922347491
Name:PALMER, DAWN KIMBERLY (PHARMD RPH)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:KIMBERLY
Last Name:PALMER
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:KIMBERLY
Other - Last Name:GOEBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD RPH
Mailing Address - Street 1:2650 NOVATION PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-3399
Mailing Address - Country:US
Mailing Address - Phone:608-417-4665
Mailing Address - Fax:608-327-0324
Practice Address - Street 1:4198 NAKOOSA TRL.
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53714-3399
Practice Address - Country:US
Practice Address - Phone:608-241-8808
Practice Address - Fax:608-241-7882
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12871-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist