Individual
KELLI J PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2416 W END AVE, NASHVILLE, TN 37203-1710
(615) 321-4505
(615) 321-0587
Mailing address
2416 W END AVE, NASHVILLE, TN 37203-1710
(615) 321-4505
(615) 321-0587
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10355
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619123569
—
TN
Enumeration date
06/06/2009
Last updated
03/07/2013
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