Individual
DR. THOMAS BEBELL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
6520 BARTON CT, JOHNSTON, IA 50131-2900
(612) 718-6166
Mailing address
6520 BARTON CT, JOHNSTON, IA 50131-2900
(612) 718-6166
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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