Bolesta, Kelly M

Bolesta, Kelly M is an individual health care provider with primary practice located at 1000 E Mountain Blvd # Mc34-06 , Wilkes Barre PA 18711-0001. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Bolesta, Kelly M can be contacted via phone (570) 808-7706.

Contact Information

Primary practice address
1000 E Mountain Blvd # Mc34-06 Wilkes Barre PA 18711-0001
Phone: (570) 808-7706
Fax: (570) 808-6433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X RP438081 Pennsylvania
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP438081 Pennsylvania

Profile Details

NPI number 1083684799
LBN Legal business name Bolesta, Kelly M
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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