Provider Demographics
NPI:1962032714
Name:SCOTT, KIMBERLY JOY (PHARMD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:JOY
Last Name:SCOTT
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 1:1309 US HIGHWAY 127 S
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4411
Mailing Address - Country:US
Mailing Address - Phone:502-875-0127
Mailing Address - Fax:502-875-0129
Practice Address - Street 1:1309 US HIGHWAY 127 S
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4411
Practice Address - Country:US
Practice Address - Phone:502-875-0127
Practice Address - Fax:502-875-0129
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26023894A1835P0018X
KY0149591835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist