Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimly Hickerson, PHARMACIST

Individual provider Pharmacist · NPI 1699100578

Kimly Hickerson, PHARMACIST is a Pharmacist in Cape Girardeau, Missouri. Licensed in Kentucky and Missouri. Registered with an NPI since 2013.

Licensed in
KY, MO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

121 S Broadview St Ste 11&12
Cape Girardeau, MO 63703-5760
Phone: (573) 803-5500
Fax: (573) 803-5501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 043576 (MO)
Pharmacist Taxonomy 183500000X · Licence 010303 (KY)

Record details

NPI number1699100578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMACIST
Sole proprietorNo
NPI enumeratedSeptember 10, 2013
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020

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