Healthcare Provider Details

I. General information

NPI: 1245863851
Provider Name (Legal Business Name): KELLY COBB PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2020
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

464 CARDINAL LN
GREEN BAY WI
54313-9569
US

IV. Provider business mailing address

464 CARDINAL LN
GREEN BAY WI
54313-9569
US

V. Phone/Fax

Practice location:
  • Phone: 920-661-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18621-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: