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NPI Code Detail

MEDICARE: DR. KELLI MARIE SIMS PHARM. D.

MEDICARE: DR. KELLI MARIE SIMS PHARM. D.
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
1183500000XPharmacist15091AL

General Provider Information

NPI Number : 1699830349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELLI MARIE SIMS PHARM. D.
Provider Business Mailing Address
First Line : 215 DAVIS CIR
Second Line :
City : JACKSONS GAP
State : AL
Zip : 36861-5808
Country : US
Telephone Number : 256-825-4473
Fax Number :
Provider Business Practice Location Address
First Line : 1061 HIGHWAY 280
Second Line :
City : ALEXANDER CITY
State : AL
Zip : 35010-4622
Country : US
Telephone Number : 256-234-5156
Fax Number : 256-234-5428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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