Kickertz, Brenda

Kickertz, Brenda is an individual health care provider with primary practice located at 4940 E State St Suite 1, Rockford IL 61108-2270. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kickertz, Brenda can be contacted via phone (815) 227-0081.

Contact Information

Primary practice address
4940 E State St Suite 1 Rockford IL 61108-2270
Phone: (815) 227-0081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1205048204
LBN Legal business name Kickertz, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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