DR. Kimberly R Wollenhaupt
NPI #1578846986 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1578846986
- Entity Type
- Individual
- Name
- DR. Kimberly R Wollenhaupt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 21, 2011
- Last Updated
- Sep 21, 2011
Practice Location
- Address
- 1800 W MORTON AVE
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-2619
- Phone
- (217) 479-0693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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