Individual
KELLY ANNE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2355 POPLAR LEVEL RD, STE 302, LOUISVILLE, KY 40217-1395
(502) 636-8088
(502) 636-8078
Mailing address
2355 POPLAR LEVEL RD, STE 302, LOUISVILLE, KY 40217-1395
(502) 636-8088
(502) 636-8078
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
013311
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013311
PHARMACIST LICENSE
KY
Enumeration date
06/25/2008
Last updated
06/25/2008
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