Most Relevant Information
Provider Data
| NPI Number: | 1003528449 |
| Provider Name: | KELSEY MOODY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302041999 |
Most Important Dates
| Enumeration Date: | 12/16/2022 |
| Last Updated: | 12/16/2022 |
Provider Practice Location
211 S DIVISION ST
BELLAIRE
MI
496159550
Practice Location Phone/Fax
| Phone: | 2315335534 |
| Fax: | 2315335725 |
Provider Mailing Location
PO BOX 918
BELLAIRE
MI
496150918
Provider Mailing Phone/Fax
| Phone: | 2315335534 |
| Fax: |