Individual
DR. BRANDON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 BLACKBURN AVE, ASHLAND, KY 41101-4503
(606) 324-0372
Mailing address
933 BLACKBURN AVE, ASHLAND, KY 41101-4503
(606) 324-0372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018737
KENTUCKY BOARD OF PHARMACY
KY
Enumeration date
08/10/2016
Last updated
08/10/2016
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