Individual
DEBORAH KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 TOWNE CENTER DR, LOUISVILLE, KY 40241-4146
(502) 412-2440
Mailing address
2310 MERRICK RD, LOUISVILLE, KY 40207-1255
(502) 899-5014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9719
KY
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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