Provider Demographics
NPI:1992686935
Name:AUSTIN, PAUL KELLY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:KELLY
Last Name:AUSTIN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3349B THRASHER RD
Mailing Address - Street 2:
Mailing Address - City:WHITE CLOUD
Mailing Address - State:KS
Mailing Address - Zip Code:66094-4005
Mailing Address - Country:US
Mailing Address - Phone:785-595-3455
Mailing Address - Fax:785-595-3493
Practice Address - Street 1:3349B THRASHER RD
Practice Address - Street 2:
Practice Address - City:WHITE CLOUD
Practice Address - State:KS
Practice Address - Zip Code:66094-4005
Practice Address - Country:US
Practice Address - Phone:785-595-3455
Practice Address - Fax:785-595-3493
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010040067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist