Individual
KELLY YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2034 S HIGHWAY 53, LA GRANGE, KY 40031-9535
(502) 222-2028
Mailing address
2034 S HIGHWAY 53, LA GRANGE, KY 40031-9535
(502) 222-2028
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
014078
KY
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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