Provider Demographics
NPI:1518062884
Name:HIGGINS, KRISTIN ANN (PHARM D, BCPS)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ANN
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:PHARM D, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3169 DEMING WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-1435
Mailing Address - Country:US
Mailing Address - Phone:608-716-8315
Mailing Address - Fax:608-827-0294
Practice Address - Street 1:726 LONDON RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:WI
Practice Address - Zip Code:53531-9572
Practice Address - Country:US
Practice Address - Phone:608-354-8982
Practice Address - Fax:608-827-0294
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI123250401835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy