Individual
KEITH BERNARD MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 KEITH ST SW, CLEVELAND, TN 37311-5803
(423) 476-4597
(423) 478-1694
Mailing address
100 KEITH ST SW, CLEVELAND, TN 37311-5803
(423) 476-4597
(423) 478-1694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9836
TN
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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