Bonny Kimball

NPI #1154752988 in Fitchburg, Wisconsin

Provider Information

NPI Number
1154752988
Entity Type
Individual
Name
Bonny Kimball
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 4, 2013
Last Updated
Dec 4, 2013

Practice Location

Address
5152 ANTON DR
Address 2
213
ZIP Code
53719-1772
Phone
(608) 217-4551

Specialties & Taxonomy Codes

Specialty
Pharmacist

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