Individual
KELLY WALVATNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
1345 S FREDERICK AVE, OELWEIN, IA 50662-3060
(319) 283-4100
Mailing address
1345 S FREDERICK AVE, OELWEIN, IA 50662-3060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24959
IA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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