Provider Demographics
NPI:1346563657
Name:DUNWORTH, KELLY (RPH)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:DUNWORTH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 ERICSSON DRIVE STE 100
Mailing Address - Street 2:ACCREDO HEALTH GROUP
Mailing Address - City:WARRENDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15086-7000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 ERICSSON DRIVE STE 100
Practice Address - Street 2:ACCREDO HEALTH GROUP
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-7000
Practice Address - Country:US
Practice Address - Phone:724-772-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044149L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist