Brenda Kickertz is a Pharmacist in Rockford, Illinois. Brenda Kickertz practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Brenda Kickertz is 1205048204. The last update date is 2007-07-08.
Brenda Kickertz's current location address is 4940 E State St, Rockford, Illinois. You can contact this provider via phone number 8152270081. The mailing address for Brenda Kickertz is 4940 E State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Kickertz |
|---|---|
| Address | 4940 E State St, Rockford, Illinois |
| Phone Number | 8152270081 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1205048204 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4940 E State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082270 |
| Phone Number | 8152270081 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
|
Post Comment/ Review Below
What is the unique identification code assigned to Brenda Kickertz by the Centers for Medicare & Medicaid Services?
The Brenda Kickertz has been issued the NPI (National Provider Identifier) 1205048204. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brenda Kickertz?
The Brenda Kickertz is physically situated at 4940 E State St, in the city of Rockford, state of IL, with the postal code 611082270.
What is Brenda Kickertz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brenda Kickertz is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205048204 to Brenda Kickertz?
The Brenda Kickertz received its 1205048204 assignment from the Centers for Medicare & Medicaid Services on 2007-05-04.
As of what date was the information regarding Brenda Kickertz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brenda Kickertz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.