Dethloff, Kelly Marie
Dethloff, Kelly Marie is an individual health care provider with primary practice located at 901 9Th St N , Virginia MN 55792-2325. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dethloff, Kelly Marie can be contacted via phone (218) 749-9441.Contact Information
Primary practice address
901 9Th St N
Virginia MN 55792-2325
Phone: (218) 749-9441
Fax: (218) 749-9565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 118343 | Minnesota |
Profile Details
| NPI number | 1982942025 |
|---|---|
| LBN Legal business name | Dethloff, Kelly Marie |
| Credentials | PHARMD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2013 |
| Last updated | Jan 24th, 2013 - about 11 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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