Basic Information
Provider Information
NPI: 1750658340
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAY
FirstName: KIMBERLY
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13208 KING ST
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662134497
CountryCode: US
TelephoneNumber: 8162614222
FaxNumber:  
Practice Location
Address1: 4401 WORNALL RD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641113220
CountryCode: US
TelephoneNumber: 8169322107
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/26/2011
LastUpdateDate: 11/26/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X2008016494MOY Pharmacy Service ProvidersPharmacist 
183500000X114754KSN Pharmacy Service ProvidersPharmacist 

No ID Information.


Home