MEDICARE: DR. KELLY J ARTHUR PHARMD

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
1	183500000X	Pharmacist	21225	IA

General Provider Information

NPI Number	:	1174844377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLY J ARTHUR PHARMD

Provider Business Mailing Address
First Line	:	2400 4TH ST SW
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-4664
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 4TH ST SW
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-4664
Country	:	US
Telephone Number	:	641-424-1343
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	12/03/2021

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