Individual
THERESA ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
453 E. 111TH ST., KANSAS CITY, MO 64131
(816) 942-2800
(800) 765-5943
Mailing address
453 E RED BRIDGE RD, KANSAS CITY, MO 64131-4038
(816) 942-2800
(800) 765-5843
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
10102
KS
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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