Individual
DR. THOMAS BEBELL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.293746
IL
1835P1200X
Pharmacotherapy Pharmacist
Primary
051.293746
IL
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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