Individual
KELLI ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4122 AUTUMN CREST DR, HAMILTON, MI 49419-9119
(616) 218-5838
Mailing address
4122 AUTUMN CREST DR, HAMILTON, MI 49419-9119
(616) 218-5838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302039876
PHARMACISTS LICENSE
MI
Enumeration date
08/14/2014
Last updated
08/14/2014
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