Provider Demographics
NPI:1710272695
Name:DOBLER, KELLY ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:ANN
Last Name:DOBLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:ANN
Other - Last Name:VELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8651 BRIER CREEK PKWY
Mailing Address - Street 2:T-1794
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7325
Mailing Address - Country:US
Mailing Address - Phone:919-765-0006
Mailing Address - Fax:919-765-0006
Practice Address - Street 1:8651 BRIER CREEK PKWY
Practice Address - Street 2:T-1794
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-7325
Practice Address - Country:US
Practice Address - Phone:919-765-0006
Practice Address - Fax:919-765-0006
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-18
Last Update Date:2011-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist