Individual
MICHAEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9401 JERONIMO RD, IRVINE, CA 92618-1908
(714) 516-5423
Mailing address
9401 JERONIMO RD, IRVINE, CA 92618-1908
(714) 516-5423
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
76089
CA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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