Individual
DR. KELLY WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3109 WALNUT GROVE RD, MEMPHIS, TN 38111-3509
(901) 293-4040
Mailing address
3109 WALNUT GROVE RD, MEMPHIS, TN 38111-3509
(901) 293-4040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35883
TN
183500000X
Pharmacist
PD12194
AR
Other
Enumeration date
09/01/2016
Last updated
09/02/2021
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