Provider Demographics
NPI:1881138428
Name:WIMPEE, KRISTINA M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:M
Last Name:WIMPEE
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 1:134 SUGAR MAPLE DRIVE, SUITE A
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:KY
Mailing Address - Zip Code:42206
Mailing Address - Country:US
Mailing Address - Phone:270-847-4004
Mailing Address - Fax:270-847-4005
Practice Address - Street 1:134 SUGAR MAPLE DRIVE, SUITE A
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:KY
Practice Address - Zip Code:42206
Practice Address - Country:US
Practice Address - Phone:270-847-4004
Practice Address - Fax:270-847-4005
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist