Basic Information
| Provider Information | |||||||||
| NPI: | 1720176985 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCNELIS | ||||||||
| FirstName: | KELLY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | WILMINGTON HOSPITAL PO BOX 1668 | ||||||||
| Address2: | CHRISTIANA CARE HEALTH SERVICES | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198991668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3022551312 | ||||||||
| FaxNumber: | 3022551374 | ||||||||
| Practice Location | |||||||||
| Address1: | 14TH AND WASHINGTON STREETS | ||||||||
| Address2: | CHRISTIANA CARE HEALTH SERVICES-WILMINGTON HOSP ANNEX | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198991668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3022551312 | ||||||||
| FaxNumber: | 3022551374 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | A1-0002387 | DE | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.