Poulimenos, Kelli Renae

Poulimenos, Kelli Renae is an sole proprietor health care provider with primary practice located at 7950 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Poulimenos, Kelli Renae can be contacted via phone (260) 435-7441.

Contact Information

Primary practice address
7950 W Jefferson Blvd Fort Wayne IN 46804-4140
Fax: (260) 435-7609
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26021727A Indiana

Profile Details

NPI number 1093900979
LBN Legal business name Poulimenos, Kelli Renae
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2007
Last updated Sep 13th, 2007 - about 17 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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