Individual
KELLY A MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11505 N ILLINOIS ST, CARMEL, IN 46032-3137
(317) 689-6325
Mailing address
11505 N ILLINOIS ST, CARMEL, IN 46032-8572
(317) 689-6325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.288608
IL
183500000X
Pharmacist
Primary
26020530A
IN
Other
Enumeration date
10/28/2011
Last updated
09/23/2021
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