Individual
KELSEY KERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8235 SW WILSONVILLE RD, WILSONVILLE, OR 97070-7718
(503) 682-2701
Mailing address
29965 SW ROSE LN APT 103, WILSONVILLE, OR 97070-8809
(309) 230-8144
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016869
OR
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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