Lawrence Gerard Kelly, | |
2101 O St Apt 209, Cozad, NE 69130-1077 | |
(402) 699-8440 | |
Not Available |
Full Name | Lawrence Gerard Kelly |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 2101 O St Apt 209, Cozad, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316438898 | NPI | - | NPPES |
10201 | Other | NE | PHARMACY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 10201 (Nebraska) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lawrence Gerard Kelly, 2101 O St Apt 209, Cozad, NE 69130-1077 Ph: (402) 699-8440 | Lawrence Gerard Kelly, 2101 O St Apt 209, Cozad, NE 69130-1077 Ph: (402) 699-8440 |
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