IndividualActive
Kimberley Bevan
NPI 1518384643 · Pharmacist · Oconomowoc, WI
Provider details
- NPI number
- 1518384643
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10040-40 (WI)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1284 East Summit Avenue
Suite 100
Oconomowoc, WI 53066
Phone: (262) 569-8204
Street-level locationGet directions
Mailing address
1284 East Summit Avenue
Oconomowoc, WI 53066
Registry dates
- Enumerated
- 2014-03-26
- Last updated
- 2014-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.