Individual
KEVIN JAMES KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1502 N VERCLER RD, SPOKANE VALLEY, WA 99216-1078
(509) 444-8204
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61075215
WA
Other
Enumeration date
05/24/2021
Last updated
03/17/2023
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