Individual
DR. JUSTIN M KELLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 962-8994
Mailing address
105 BEAUCLAIR DRIVE, SIMPSONVILLE, SC 29680
(864) 962-8991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12570
SC
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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