Individual
MR. KELCEY JOHN DIEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
96 3RD STREET, CHINOOK, MT 59523-0609
(406) 357-3333
(406) 357-3336
Mailing address
PO BOX 609, 96 3RD STREET, CHINOOK, MT 59523-0609
(406) 357-3333
(406) 357-3336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3509
MT
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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