Kelly Blythe-Teats

NPI #1639655780 in Bloomington, Illinois

Provider Information

NPI Number: 1639655780
Entity Type: Individual
Name: Kelly Blythe-Teats
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 12, 2018
Last Updated: Jul 12, 2018

Practice Location

Address: 1701 E EMPIRE ST
City: Bloomington
State: Illinois
ZIP Code: 61704-3532
Phone: (309) 662-7004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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