Individual
KELLI JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
210 BLACK GOLD BLVD, SUITE 104, HAZARD, KY 41701-2620
(606) 487-7380
(606) 487-7384
Mailing address
210 BLACK GOLD BLVD, SUITE 104, HAZARD, KY 41701-2620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018588
KY
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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