Individual
DR. KELSEY GODERWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9950 BERBERICH DR, FLORENCE, KY 41042-3275
(859) 372-3490
Mailing address
9950 BERBERICH DR, FLORENCE, KY 41042-3275
(859) 372-3490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019850
KENTUCKY BOARD OF PHARMACY
—
Enumeration date
09/19/2018
Last updated
09/19/2018
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