Individual
DR. DANIEL T KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 N STATE ST, NORTH VERNON, IN 47265-1722
(812) 346-1200
Mailing address
483 S NORRIS AVE, NORTH VERNON, IN 47265-7118
(812) 701-4237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024018A
IN
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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