Individual
KIM MARIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1401 BOMBING RANGE RD, WEST RICHLAND, WA 99353-8001
(509) 967-8008
(509) 967-8096
Mailing address
1401 BOMBING RANGE RD, WEST RICHLAND, WA 99353-8001
(509) 967-8008
(509) 967-8096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00015160
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6029136
—
WA
Enumeration date
08/26/2013
Last updated
08/26/2013
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