Individual
KELLEY GATEWOOD MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
101 PROFESSIONAL DR, WEST MONROE, LA 71291-8309
(318) 387-8933
(318) 387-0179
Mailing address
101 PROFESSIONAL DR, WEST MONROE, LA 71291-8309
(318) 387-8933
(318) 387-0179
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.013115
LA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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