Individual
MR. JACOB RAYMOND KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2790 HEALTH PKWY, MOUNT PLEASANT, MI 48858-6934
(989) 953-5320
Mailing address
1021 S BROWN ST APT 12, MOUNT PLEASANT, MI 48858-3634
(989) 220-7149
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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