Dr Jennifer Kelly, PD is a
Pharmacist based in Hazen, Arkansas. Dr Jennifer Kelly is licensed to practice in Arkansas (license number PD09944) and her current practice location is
202 South Livermore, Hazen, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 255-4403.
NPI number for Dr Jennifer Kelly is 1528656121 and her current mailing address is Po Box 507, Hazen, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528656121.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Kelly |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
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| Location | 202 South Livermore, Hazen, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528656121
- Provider Enumeration Date: 01/08/2021
- Last Update Date: 01/08/2021
Medical Identifiers
Medical identifiers for Dr Jennifer Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528656121 | NPI | - | NPPES |
| 1477688463 | Other | AR | 1477688463 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PD09944 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Kelly, PD
Po Box 507,
Hazen, AR 72064-0507
Ph: (870) 255-3433 | Dr Jennifer Kelly, PD
202 South Livermore,
Hazen, AR 72064
Ph: (870) 255-4403 |
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