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NPI Code Detail

MEDICARE: KELLY ELIZABETH DENBOW

MEDICARE: KELLY ELIZABETH DENBOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03440118OH

General Provider Information

NPI Number : 1114521028
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ELIZABETH DENBOW
Provider Business Mailing Address
First Line : 4245 APPLEGATE AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-5321
Country : US
Telephone Number : 740-683-4052
Fax Number :
Provider Business Practice Location Address
First Line : 8372 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45216-1128
Country : US
Telephone Number : 513-821-7206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2020
Last Update Date : 11/23/2020

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Directions to “ KELLY ELIZABETH DENBOW ” Practice Location

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