Individual
KELLY UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 COLUMBIA HWY, GREENSBURG, KY 42743-1115
(270) 932-4518
Mailing address
325 LOCUST GROVE RD, GREENSBURG, KY 42743-9273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019566
KY
Other
Enumeration date
11/05/2017
Last updated
03/17/2018
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