Individual
TIM KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3122 WHITE OAK TRAIL, HIGHLANDS RANCH, CO 80129
(720) 344-9863
Mailing address
3122 WHITE OAK TRAIL, HIGHLANDS RANCH, CO 80129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16599
CO
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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