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NPI Code Detail

MEDICARE: LEANNE KAY KELBEL C.PH.T.

MEDICARE:   LEANNE KAY KELBEL  C.PH.T.
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
1183700000XPharmacy Technician5303010310MI

General Provider Information

NPI Number : 1457957219
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNE KAY KELBEL C.PH.T.
Provider Business Mailing Address
First Line : 205 E MAIN ST
Second Line :
City : HARBOR SPRINGS
State : MI
Zip : 49740-1511
Country : US
Telephone Number : 231-526-5971
Fax Number : 231-526-0376
Provider Business Practice Location Address
First Line : 205 E MAIN ST
Second Line :
City : HARBOR SPRINGS
State : MI
Zip : 49740-1511
Country : US
Telephone Number : 231-526-5971
Fax Number : 231-526-0376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 12/08/2020

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Directions to “ LEANNE KAY KELBEL C.PH.T.” Practice Location

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