Individual
DR. KELLI KILGRO CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1514 HIGHWAY 77, LAWLEY DRUG AND MEDICAL, SOUTHSIDE, AL 35907-0408
(256) 413-4473
Mailing address
1514 HIGHWAY 77, LAWLEY DRUG AND MEDICAL, SOUTHSIDE, AL 35907-0408
(256) 413-4473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14386
AL
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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