Individual provider · Type 1 NPI

Ken A. Kimball, RPH

Pharmacist · Fort Wayne, IN

NPI number 1518506047 Active

Practice location

2802 E State Blvd
Fort Wayne, IN 46805-4733

Call (260) 471-5521 Map

Mailing address

11606 Hardisty Rd
Fort Wayne, IN 46845-9606

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26016357A (IN)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1518506047

Ken A. Kimball, RPH's National Provider Identifier is 1518506047, issued on Jan 1, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 1, 2020.