Provider Demographics
NPI:1417788787
Name:WELLS-KINGSBURY, JAMIE MICHELE (PHARMD)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:MICHELE
Last Name:WELLS-KINGSBURY
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 1:10005 BALLARDSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1202
Mailing Address - Country:US
Mailing Address - Phone:502-302-7926
Mailing Address - Fax:502-212-1469
Practice Address - Street 1:10005 BALLARDSVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-1202
Practice Address - Country:US
Practice Address - Phone:502-302-7926
Practice Address - Fax:502-212-1469
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0254321835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist