| Doctor Name: | KIMBERLEY PETER |
| NPI Number: | 1013324953 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHARMD |
| License Number: | 34008 |
| Business Practice Address: | 2669 Scenic Dr Gerald Champion Regional Medical Center, Pharmacy Dept. Alamogordo, NM - 883108700 |
| Business Phone Number: | 5754437979 |
| Business Fax Number: | |
| Mailing Address: | 2 Calle De Suenos, ALAMOGORDO |
| State: | NM |
| Postal Code: | 883109537 |
| Phone Number: | 9154336489 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2014 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 34008 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |