Individual
KELLY JO BERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4750 E 450 S, WHITESTOWN, IN 46075-8404
(777) 323-4318
Mailing address
1405 BENDING RIVER DR, NASHVILLE, TN 37221-6592
(615) 446-5222
(615) 446-9373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021702A
IN
Other
Enumeration date
11/22/2011
Last updated
06/28/2023
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