Kelly Newcom

Pharmacist · Boerne, TX

Individual Active NPI

NPI number 1104156447

Practice location

1223 S Main St
Boerne, TX 78006-2813
Phone
(830) 249-9565

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NPI record

NPI
1104156447
Entity type
Individual (Type 1)
Enumeration date
January 9, 2010
Last updated
January 9, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 40754 TX

Mailing address

178 Yaupon Trl
San Antonio, TX 78256-1625

About Kelly Newcom

Kelly Newcom is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1223 S Main St, Boerne, TX 78006-2813. The NPI number 1104156447 was assigned on January 9, 2010 and the record was last updated on January 9, 2010.

Kelly Newcom lists a license in the registry: #40754 (TX) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Newcom?

The NPI number is 1104156447.

What is the phone number of Kelly Newcom?

The phone number listed for the practice location is (830) 249-9565.

Where is Kelly Newcom located?

1223 S Main St, Boerne, TX 78006-2813.

What is the taxonomy code for Kelly Newcom?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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