Individual
KODI KATELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 N METRO PKWY W, PHOENIX, AZ 85051-1402
(480) 337-0256
Mailing address
9600 N METRO PKWY W, PHOENIX, AZ 85051-1402
(480) 337-0256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022669
AZ
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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