NPI

Kelli Kathleen Tate

NPI 1376143818

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PharmD
Type
Individual
Enumeration date
2020-10-26
Last updated
2020-10-26

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Specialties

Licenses

License IL
051.300969
License MO
2017008178

Location

Practice location
103 W Polk St
City
Warsaw MO
Postal code
65355-3297
Phone
(660) 438-2207

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Warsaw, MO. 155 records in the public file.

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