Provider Demographics
NPI:1699894865
Name:HUNTER, KIMBERLY ANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:HUNTER
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 1:108 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2811
Mailing Address - Country:US
Mailing Address - Phone:484-953-1803
Mailing Address - Fax:
Practice Address - Street 1:512 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-1014
Practice Address - Country:US
Practice Address - Phone:484-953-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10264183500000X
KY13398183500000X
LA18088183500000X
MO2006015776183500000X
NJ28RI02069100183500000X
PARP438258183500000X
TN27459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist