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NPI Code Detail

MEDICARE: MRS. KELLI ANN KINZER RPH

MEDICARE:  MRS. KELLI ANN KINZER  RPH
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
1183500000XPharmacist044271MO
2183500000XPharmacist11298OK
3183500000XPharmacist1-11674KS

General Provider Information

NPI Number : 1154698272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLI ANN KINZER RPH
Provider Business Mailing Address
First Line : 501 S MADISON ST STE S
Second Line :
City : WEBB CITY
State : MO
Zip : 64870-2426
Country : US
Telephone Number : 417-673-2200
Fax Number : 417-673-2212
Provider Business Practice Location Address
First Line : 501 S MADISON ST STE S
Second Line :
City : WEBB CITY
State : MO
Zip : 64870-2426
Country : US
Telephone Number : 417-673-2200
Fax Number : 417-673-2212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2011
Last Update Date : 05/09/2017

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Directions to “ MRS. KELLI ANN KINZER RPH” Practice Location

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