Dewald, Kelly Renee

Dewald, Kelly Renee is an individual health care provider with primary practice located at 4497 Far Hills Ave , Kettering OH 45429-2405. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dewald, Kelly Renee can be contacted via phone (937) 396-1358.

Contact Information

Primary practice address
4497 Far Hills Ave Kettering OH 45429-2405
Phone: (937) 396-1358
Fax: (937) 396-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03223565 Ohio

Profile Details

NPI number 1669740791
LBN Legal business name Dewald, Kelly Renee
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2011
Last updated Dec 3rd, 2011 - about 13 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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