Kelly Balyeat

NPI #1659656155 in Angola, Indiana

Provider Information

NPI Number: 1659656155
Entity Type: Individual
Name: Kelly Balyeat
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 15, 2011
Last Updated: Oct 15, 2011

Practice Location

Address: 2012 NORTH WAYNE STREET
City: Angola
State: Indiana
ZIP Code: 46703
Phone: (260) 665-5560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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