DR. Shannon Kelly, PHARM.D.

NPI #1578991790 in Blaine, Tennessee

Provider Information

NPI Number: 1578991790
Entity Type: Individual
Name: DR. Shannon Kelly, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Oct 25, 2013
Last Updated: Oct 25, 2013

Practice Location

Address: 2792 LEA LAKE RD
City: Blaine
State: Tennessee
ZIP Code: 37709-5214
Phone: (865) 661-5752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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