MR. Jacob Raymond Kelley

NPI #1306641790 in Mount Pleasant, Michigan

Provider Information

NPI Number: 1306641790
Entity Type: Individual
Name: MR. Jacob Raymond Kelley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Feb 18, 2025
Last Updated: Feb 18, 2025

Practice Location

Address: 2790 HEALTH PKWY
City: Mount Pleasant
State: Michigan
ZIP Code: 48858-6934
Phone: (989) 953-5320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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