Search › California › 133V00000X
Mary Kelly, R.D
NPI 1518187772 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6448 Hallee Rd Ste 9
Joshua Tree, CA 92252 - Phone
- (760) 366-8390
- Fax
- (760) 418-2243
- Organisation at this address
- Star Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 132700000X
133N00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California