Individual
KYLIE RAE POREMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12101 SHELBYVILLE RD, MIDDLETOWN, KY 40243-1044
(502) 244-7037
Mailing address
12101 SHELBYVILLE RD, MIDDLETOWN, KY 40243-1044
(502) 244-7037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022947
KY
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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