Individual
MR. KELLY MICHAEL MCADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5155 BRIARWOOD DR, AURORA, IN 47001-3002
(812) 584-6656
Mailing address
5155 BRIARWOOD DR, AURORA, IN 47001-3002
(812) 584-6656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
010346
KY
183500000X
Pharmacist
03119201
OH
183500000X
Pharmacist
Primary
26016152A
IN
Other
Enumeration date
12/28/2013
Last updated
12/28/2013
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