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NPI Code Detail

MEDICARE: MONICA KALLEENY

MEDICARE: MONICA KALLEENY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS45479FL

General Provider Information

NPI Number : 1003237256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA KALLEENY
Provider Business Mailing Address
First Line : 7102 WINDING LAKE CIR
Second Line :
City : OVIEDO
State : FL
Zip : 32765-5650
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 820 OVIEDO MALL BLVD
Second Line :
City : OVIEDO
State : FL
Zip : 32765-9348
Country : US
Telephone Number : 407-366-5907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2013
Last Update Date : 12/13/2013

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Directions to “ MONICA KALLEENY ” Practice Location

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