Individual
KELLI SUE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 356-1616
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 356-1616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21453
IA
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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