Declerk, Kelly Alane

Declerk, Kelly Alane is an individual health care provider with primary practice located at 3051 E Jackson Blvd , Jackson MO 63755-2910. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Declerk, Kelly Alane can be contacted via phone (573) 204-7360.

Contact Information

Primary practice address
3051 E Jackson Blvd Jackson MO 63755-2910
Phone: (573) 204-7360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2009036310 Missouri

Profile Details

NPI number 1417446154
LBN Legal business name Declerk, Kelly Alane
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2018
Last updated May 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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