Provider Demographics
NPI:1669789400
Name:BRAND, KIMBERLY KOPF (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:KOPF
Last Name:BRAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8765
Mailing Address - Country:US
Mailing Address - Phone:205-621-2310
Mailing Address - Fax:
Practice Address - Street 1:514 1ST ST N
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8765
Practice Address - Country:US
Practice Address - Phone:205-621-2310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist