Individual
KELLI RENEE BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 402-4078
Mailing address
110 ACKLEN PARK DR, #115, NASHVILLE, TN 37203-1163
(419) 290-2569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-27911
OH
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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