Individual
DR. KELLY VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 2ND ST, RICHLANDS, VA 24641-2303
(276) 963-0284
(276) 963-4465
Mailing address
216 CORDELIA ST, CEDAR BLUFF, VA 24609-9592
(276) 971-3218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208454
VA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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