| NPI | 1164702650 |
|---|---|
| Other Name | KELSEY DO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 47860) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH024811) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |