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Individual

DAVID KELLEY SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4475 24TH AVE., FORT GRATIOT, MI 48059
(810) 385-2164
(810) 385-2165
Mailing address
2949 SHOREWOOD BLVD, FORT GRATIOT, MI 48059-3126
(810) 434-9802

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302024206
MI

Other

Enumeration date
05/01/2014
Last updated
05/01/2014
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