Provider Demographics
NPI:1558457044
Name:YIP, CHING KELLY (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:CHING
Middle Name:KELLY
Last Name:YIP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6934 LONGFELLOW CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3766
Mailing Address - Country:US
Mailing Address - Phone:408-236-4007
Mailing Address - Fax:408-236-4330
Practice Address - Street 1:6934 LONGFELLOW CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3766
Practice Address - Country:US
Practice Address - Phone:408-236-4007
Practice Address - Fax:408-236-4330
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH38435183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist