Individual
KELSEY FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
SUMMIT HEALTH, 1501 NE MEDICAL CENTER DR, BEND, OR 97701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017420
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0017420
OBOP
OR
Enumeration date
03/03/2023
Last updated
03/03/2023
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