Provider Demographics
NPI:1164769238
Name:FRANK, KELLI J (RPH)
Entity Type:Individual
Prefix:DR
First Name:KELLI
Middle Name:J
Last Name:FRANK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1137 SAINT MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2510
Mailing Address - Country:US
Mailing Address - Phone:504-296-7489
Mailing Address - Fax:504-341-7096
Practice Address - Street 1:1133 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2023
Practice Address - Country:US
Practice Address - Phone:504-296-7489
Practice Address - Fax:504-341-7096
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.019942183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist