Individual
KELLI PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
106 MARKET PLACE CIR, GEORGETOWN, KY 40324-7400
(859) 317-6080
(859) 317-6079
Mailing address
128 CANEWOOD BLVD, GEORGETOWN, KY 40324-9188
(502) 316-1916
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
009742
KY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
009742
KY
Other
Enumeration date
05/02/2007
Last updated
06/28/2020
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