Individual
KELLEE DANIELLE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2719 ANDERSON AVE, MANHATTAN, KS 66502-2803
(785) 587-8326
(785) 587-5221
Mailing address
1575 JEFFERSON RDG APT 7, MANHATTAN, KS 66502-0420
(909) 809-2991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14626
KS
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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