Individual
KELLY PEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MPA, BCACP
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-8522
Mailing address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-8522
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26026108A
IN
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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