Individual
KATELYN JANICE KERESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 E GREENWAY PKWY, SCOTTSDALE, AZ 85254-2025
(480) 991-2373
(480) 991-2036
Mailing address
26 OLD STAGECOACH RD, ALTON, ME 04468-4332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024143
CO
390200000X
Student in an Organized Health Care Education/Training Program
PI45590
ME
Other
Enumeration date
07/18/2017
Last updated
08/23/2019
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