Provider Demographics
NPI:1467907998
Name:MOYER, KELSEY BRIANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:BRIANNE
Last Name:MOYER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KELSEY
Other - Middle Name:BRIANNE
Other - Last Name:SIEBOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:136 HEATHER HILLS DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-8670
Mailing Address - Country:US
Mailing Address - Phone:440-289-6118
Mailing Address - Fax:
Practice Address - Street 1:136 HEATHER HILLS DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-8670
Practice Address - Country:US
Practice Address - Phone:440-289-6118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP449586183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist