Provider Demographics
NPI:1982812160
Name:WITT, KIMBERLY SCARLETT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:SCARLETT
Last Name:WITT
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 1:1819 SHADOW BEND LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-2586
Mailing Address - Country:US
Mailing Address - Phone:334-821-0491
Mailing Address - Fax:334-887-6747
Practice Address - Street 1:2000 PEPPERELL PKWY STE 292
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5452
Practice Address - Country:US
Practice Address - Phone:334-528-3301
Practice Address - Fax:334-528-4702
Is Sole Proprietor?:No
Enumeration Date:2007-05-19
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL143441835P2201X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care