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Individual

KELLEY LOUISE RATERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
800 ROSE STREET H110, LEXINGTON, KY 40536-0001
(859) 323-9697
Mailing address
728 MOUNT VERNON DR, LEXINGTON, KY 40502-2220
(937) 239-7705

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16436
KY
183500000X
Pharmacist
8672895-1701
UT

Other

Enumeration date
07/24/2013
Last updated
07/24/2014
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