Individual
DR. KELLY MARIE GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3036 1ST AVE S, FORT DODGE, IA 50501-2925
(515) 576-7405
Mailing address
3036 1ST AVE S, FORT DODGE, IA 50501-2925
(515) 576-7405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22809
IA
Other
Enumeration date
09/13/2019
Last updated
08/25/2024
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