Individual
KELLI DEYOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8278
(616) 940-5805
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8278
(616) 940-5805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030161
MI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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