Kelly Dejarnett

NPI #1699059444 in Bridgeton, Missouri

Provider Information

NPI Number: 1699059444
Entity Type: Individual
Name: Kelly Dejarnett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 28, 2011
Last Updated: Sep 28, 2011

Practice Location

Address: 12345 SAINT CHARLES ROCK RD
City: Bridgeton
State: Missouri
ZIP Code: 63044-2505
Phone: (314) 770-2479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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