1609333525 NPI number — DR. TRUDY ANTHONY KELLY PHARMD

Table of content: DR. TRUDY ANTHONY KELLY PHARMD (NPI 1609333525)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609333525 NPI number — DR. TRUDY ANTHONY KELLY PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KELLY
Provider First Name:
TRUDY
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609333525
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 965
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONROE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30655-0965
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-267-2559
Provider Business Mailing Address Fax Number:
770-267-4048

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 MLK JR. BLVD
Provider Second Line Business Practice Location Address:
150 MLK JR BLVD
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30655-0965
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-267-2559
Provider Business Practice Location Address Fax Number:
770-267-4048
Provider Enumeration Date:
02/27/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  022617 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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