Provider Demographics
NPI:1356622385
Name:HINDS, KATHERINE JEANETTE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JEANETTE
Last Name:HINDS
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 1:6079 AUBURN CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-8023
Mailing Address - Country:US
Mailing Address - Phone:859-586-4703
Mailing Address - Fax:
Practice Address - Street 1:8193 MALL RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1413
Practice Address - Country:US
Practice Address - Phone:859-525-6230
Practice Address - Fax:859-525-8623
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-05
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013403183500000X
IN26022182A183500000X
FLPS45868183500000X
OH03127377183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist