Wagenheim, Kelly

Wagenheim, Kelly is an sole proprietor health care provider with primary practice located at 21400 Perry Ave , Big Rapids MI 49307-9262. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wagenheim, Kelly can be contacted via phone (231) 796-3691.

Contact Information

Primary practice address
21400 Perry Ave Big Rapids MI 49307-9262
Phone: (231) 796-3691
Fax: (231) 796-8722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302411047 Michigan
Pharmacy Service Providers / Pharmacist 183500000X PS 34800 Florida

Profile Details

NPI number 1831540665
LBN Legal business name Wagenheim, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2016
Last updated Jun 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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