Tisa Kelley

NPI #1033714993 in Fishers, Indiana

Provider Information

NPI Number: 1033714993
Entity Type: Individual
Name: Tisa Kelley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 11588 ALLISONVILLE RD
City: Fishers
State: Indiana
ZIP Code: 46038-1846
Phone: (317) 842-7773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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