Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Elizabeth Konrad

Individual provider Pharmacist · NPI 1083210264

Kelly Elizabeth Konrad is a Pharmacist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2020
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Practice location Address checks out

15500 Bustleton Ave
Philadelphia, PA 19116-1113
Phone: (215) 677-8593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP043235L (PA)

Record details

NPI number1083210264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2020
Last updated in NPPESDecember 11, 2020
Certification dateDecember 11, 2020

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