Individual
KELSIE BURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
1818 AIRPORT PLZ, DECATUR, IL 62521-9717
(217) 864-5912
Mailing address
1818 AIRPORT PLZ, DECATUR, IL 62521-9717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051302385
IL
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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