Whalio Doctors

NPI 1023104791

Kelly Jo Knutson, CPHT

Practitioner Pharmacy Technician Coos Bay, OR

Practice location

Address
1775 Thompson Road, Coos Bay, OR 97420
Phone
(541) 269-8160
Mailing address
915 Arago Avenue, Coos Bay, OR 97420

Registered specialties

Pharmacy Technician Primary
Pharmacy Service Providers Taxonomy 183700000X Licence CPT-0000026 (OR)

Registry record

NPI
1023104791
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Oct 2006
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.