Individual
KAILEN RENE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
326 E CAPITOL ST NE, WASHINGTON, DC 20003-3809
(202) 543-4400
(202) 543-6276
Mailing address
12637 TEALWOOD DR, INDIANAPOLIS, IN 46236-8174
(317) 650-6556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028469A
IN
Other
Enumeration date
04/24/2021
Last updated
07/25/2023
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