Individual
KELLI CHANTAY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1187 N HIGHWAY 27, WHITLEY CITY, KY 42653-4084
(606) 376-2911
(606) 376-2913
Mailing address
426 JOE LEWIS RD, SOMERSET, KY 42503-4249
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
014137
KY
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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