Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARIE ANDERSON
Active Sole ProprietorKELLY MARIE ANDERSON is a Pharmacist healthcare provider located in CREVE COUER, Missouri. NPI 1548719230 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · CREVE COUER, MO
Registration Details
- NPI Number
- 1548719230
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2016 (9.8741070701556 yrs)
- Last Updated
- Sep 23, 2016
- License
-
2014031980 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11481 OLIVE STREET ROADCREVE COUER, MO, 63141Browse MO providers · Browse ZIP 63141
- Phone
- 3144325708
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.