Individual
PATRICK KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2677
(816) 404-1000
Mailing address
4602 W 28TH PL, JOPLIN, MO 64804-8125
(417) 439-6828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012031702
MO
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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