Individual
DR. KELLY MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11729 ROE AVE, LEAWOOD, KS 66211-2605
(913) 345-8404
Mailing address
11729 ROE AVE, LEAWOOD, KS 66211-2605
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-17011
KS
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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