Individual
DR. MICHAEL PAUL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Mailing address
1830 24TH ST NE, SALEM, OR 97301-8148
(206) 200-7079
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH00052198
WA
Other
Enumeration date
05/27/2005
Last updated
03/08/2016
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