Individual
DR. CONNOR RICHARD KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
25 RIDGEWOOD RD, SPRINGFIELD, VT 05156-3057
(802) 885-2151
Mailing address
25 RIDGEWOOD RD, SPRINGFIELD, VT 05156-3057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP453519
PA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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