Provider Demographics
NPI:1265719538
Name:GAYLE, KERRY-ANN ELEITH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KERRY-ANN
Middle Name:ELEITH
Last Name:GAYLE
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 1:3769 PLEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-2937
Mailing Address - Country:US
Mailing Address - Phone:407-343-0357
Mailing Address - Fax:407-343-7754
Practice Address - Street 1:3769 PLEASANT HILL RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2937
Practice Address - Country:US
Practice Address - Phone:407-343-0357
Practice Address - Fax:407-343-7754
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS36968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist