Individual
KELLI CARPENTER FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1600 ORMSBY STATION CT, LOUISVILLE, KY 40223-4039
(502) 423-4113
(502) 423-4176
Mailing address
1600 ORMSBY STATION CT, LOUISVILLE, KY 40223-4039
(502) 423-4113
(502) 423-4176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017159
KY
Other
Enumeration date
07/02/2014
Last updated
06/22/2015
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