Individual
MRS. KELLY L EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1675 LEAHY ST, STUITE 111, MUSKEGON, MI 49442-5500
(231) 728-5888
(231) 728-4093
Mailing address
5048 W MCMILLAN RD, MUSKEGON, MI 49445-8687
(616) 516-2106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302036260
MI
3336C0003X
Community/Retail Pharmacy
5301005276
MI
Other
Enumeration date
09/29/2010
Last updated
12/16/2015
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