Kimberly Annette Zietlow in Gonvick - Pharmacotherapy

Kimberly Annette Zietlow - NPI 1740253293

Kimberly Annette Zietlow is a Pharmacotherapy in Gonvick, Minnesota. Kimberly Annette Zietlow practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Kimberly Annette Zietlow is 1740253293. The last update date is 2007-07-08.

Kimberly Annette Zietlow's current location address is 56482 169th Ave, Gonvick, Minnesota. You can contact this provider via phone number 2186793912 and fax number 2186790189. The mailing address for Kimberly Annette Zietlow is 56482 169th Ave, Gonvick, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Annette Zietlow
Address 56482 169th Ave, Gonvick, Minnesota
Phone Number 2186793912
Fax Number 2186790189
Sole Proprietor X
Credentials PHARM.D.

NPI Number Detail

NPI Number 1740253293
Provider Enumeration Date 2006-02-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 56482 169th Ave
City Gonvick
State Minnesota (MN)
Post Code 566444243
Phone Number 2186793912
Fax Number 2186790189

Provider's Primary Taxonomy Detail

Speciality Pharmacotherapy
Taxonomy 1835P1200X
Licence No 10301
Definition:
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons

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FAQs about Kimberly Annette Zietlow

What is the unique provider identifier assigned to Kimberly Annette Zietlow?

The Kimberly Annette Zietlow has been issued the NPI (National Provider Identifier) 1740253293 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Kimberly Annette Zietlow is physically located?

The Kimberly Annette Zietlow is physically situated at the following address: 56482 169Th Ave, Gonvick, MN, 566444243.

What is Kimberly Annette Zietlow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kimberly Annette Zietlow is Pharmacotherapy, and the taxonomy code that classifies this field of practice is 1835P1200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740253293 to Kimberly Annette Zietlow?

The Centers for Medicare & Medicaid Services originally issued the 1740253293 to Kimberly Annette Zietlow on 2006-02-07.

As of what date were the details related to Kimberly Annette Zietlow most recently updated or revised?

The information pertaining to Kimberly Annette Zietlow, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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