Healthcare Provider Details

I. General information

NPI: 1659235372
Provider Name (Legal Business Name): DR. KAYELYN BROPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E 38TH ST
ERIE PA
16504-1559
US

IV. Provider business mailing address

1686 RIDGEWOOD DR
WASHINGTON PA
15301-8312
US

V. Phone/Fax

Practice location:
  • Phone: 814-860-2685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0135840
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: