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Contact Information

KELLI HENRY
4809 QUIVIRA DR
SHAWNEE, KS66216-1154
 Phone: 865-567-7285
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KELLI HENRY · (Female)

NPI Number 1548137979
Status Active
Credentials
Entity Individual
Enumeration date 10/21/2025
Last updated 10/21/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RPH031395
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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