Kehrt, Kaci Brielle

Kehrt, Kaci Brielle is an individual health care provider with primary practice located at 1540 Trinity Pl , Mishawaka IN 46545. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Kehrt, Kaci Brielle can be contacted via phone (574) 272-9000.

Contact Information

Primary practice address
1540 Trinity Pl Mishawaka IN 46545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26027103A Indiana
Pharmacy Service Providers / Pharmacist 183500000X 26027103A Indiana

Profile Details

NPI number 1528581741
LBN Legal business name Kehrt, Kaci Brielle
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Jul 29th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528581741 NPPES
Indiana Other 26027103A INDIANA PROFESSIONAL LICENSING AGENCY

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