Individual
KENETT CURTIS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(602) 295-8485
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(602) 295-8485
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016683
AZ
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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