Provider Demographics
NPI:1710357330
Name:ELKINS, KELSEY (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:
Last Name:ELKINS
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 1:201 US HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:TX
Mailing Address - Zip Code:75551-2011
Mailing Address - Country:US
Mailing Address - Phone:903-796-8231
Mailing Address - Fax:903-796-3607
Practice Address - Street 1:201 US HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:TX
Practice Address - Zip Code:75551-2011
Practice Address - Country:US
Practice Address - Phone:903-796-8231
Practice Address - Fax:903-796-3607
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50628183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist