Provider Demographics
NPI:1578991238
Name:KAIGLE, ALLIE (PHARMD, BCPP)
Entity type:Individual
Prefix:DR
First Name:ALLIE
Middle Name:
Last Name:KAIGLE
Suffix:
Gender:F
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL DR
Mailing Address - Street 2:
Mailing Address - City:FORT SNELLING
Mailing Address - State:MN
Mailing Address - Zip Code:55111-4080
Mailing Address - Country:US
Mailing Address - Phone:909-787-4814
Mailing Address - Fax:
Practice Address - Street 1:1 FEDERAL DR
Practice Address - Street 2:
Practice Address - City:FORT SNELLING
Practice Address - State:MN
Practice Address - Zip Code:55111-4080
Practice Address - Country:US
Practice Address - Phone:909-787-4814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH2349351835P1300X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No183500000XPharmacy Service ProvidersPharmacist