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NPI Code Detail

MEDICARE: DR. KELLY JOSEPH BATTESE PHARM.D.

MEDICARE:  DR. KELLY JOSEPH BATTESE  PHARM.D.
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
1183500000XPharmacist1-13652KS

General Provider Information

NPI Number : 1205845104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELLY JOSEPH BATTESE PHARM.D.
Provider Business Mailing Address
First Line : 2336 W COTHRELL ST
Second Line :
City : OLATHE
State : KS
Zip : 66061-6825
Country : US
Telephone Number : 913-768-0424
Fax Number :
Provider Business Practice Location Address
First Line : 2415 MASSACHUSETTS ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-4827
Country : US
Telephone Number : 785-832-4892
Fax Number : 785-832-4887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KELLY JOSEPH BATTESE PHARM.D.” Practice Location

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