Individual
DR. JADE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
101 MAIN AVE N, PARK RAPIDS, MN 56470-1511
(218) 732-3342
Mailing address
1727 NORTHERN CEDAR AVE NW APT 111, BEMIDJI, MN 56601-2885
(218) 686-6226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125246
MN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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