Individual
DAVID ANDREW KELLEY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5816 OSAGE BEACH PKWY STE 104, OSAGE BEACH, MO 65065-3046
(573) 348-2721
Mailing address
121 OLD GLORY RD, MONTREAL, MO 65591-8134
(573) 286-1263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044431
MO
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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