Individual
KELLY ANN MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1589 HIGHWAY 15 S, JACKSON, KY 41339-9634
(606) 666-2622
Mailing address
1589 HIGHWAY 15 S, JACKSON, KY 41339-9634
(606) 666-2622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
013340
KY
Other
Enumeration date
09/13/2008
Last updated
12/04/2023
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