Individual
MS. KELLEY SUE SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 S MAIN ST, VERSAILLES, KY 40383-1214
(859) 873-3007
Mailing address
1081 HIFNER RD, VERSAILLES, KY 40383-9626
(859) 879-8392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012620
KY
183500000X
Pharmacist
040751-1
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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