Individual
DR. AMY KATHLEEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3212
Mailing address
9012 MEISENHEIMER AVE, LAS VEGAS, NV 89143-4425
(702) 494-7463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS44510
FL
183500000X
Pharmacist
RPH024665
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS44510
PHARMACIST LICENSE
FL
01
—
RPH024665
PHARMACIST LICENSE
GA
Enumeration date
09/21/2010
Last updated
02/27/2014
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