Individual
KELLY ELIZABETH KYROUAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26025503A
IN
390200000X
Student in an Organized Health Care Education/Training Program
26025503A
IN
Other
Enumeration date
07/08/2014
Last updated
01/18/2017
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