Individual
KELSEY A TIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1400 RIVER LOOK CIR APT 301, MEMPHIS, TN 38103-7926
(317) 517-1026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024049A
IN
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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