Individual
KELLY ANN HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
338 E SOUTH TEMPLE, APT 514, SALT LAKE CITY, UT 84111-1202
(205) 587-4792
Mailing address
338 E SOUTH TEMPLE, APT 514, SALT LAKE CITY, UT 84111-1202
(205) 587-4792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83327541701
UT
183500000X
Pharmacist
E-12608
MS
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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