Individual
MR. JERRY B KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
801 E 6TH ST, PANAMA CITY, FL 32401-3661
(850) 747-6018
(850) 747-6717
Mailing address
4333 NORTHSHORE RD, LYNN HAVEN, FL 32444-4594
(850) 747-6018
(850) 747-6717
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PS0016008
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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