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NPI Code Detail

MEDICARE: COLLIN KELLEY PHARMD

MEDICARE: COLLIN KELLEY 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
1183500000XPharmacist59833TX

General Provider Information

NPI Number : 1821687963
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLIN KELLEY PHARMD
Provider Business Mailing Address
First Line : 5425 W SPRING CREEK PKWY STE 190
Second Line :
City : PLANO
State : TX
Zip : 75024-4341
Country : US
Telephone Number : 214-291-5087
Fax Number :
Provider Business Practice Location Address
First Line : 8277 BELLEVIEW DR
Second Line :
City : PLANO
State : TX
Zip : 75024-0358
Country : US
Telephone Number : 214-291-5087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 01/13/2021

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Directions to “ COLLIN KELLEY PHARMD” Practice Location

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