Individual
MS. KELLY JO KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3134 E 79TH AVE, MERRILLVILLE, IN 46410-5738
(219) 947-3789
Mailing address
3134 E 79TH AVE, MERRILLVILLE, IN 46410-5738
(219) 947-3789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018001A
IN
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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