IndividualActive
David Kelley
NPI 1598175481 · Pharmacotherapy Pharmacist · Fort Gratiot, MI
Provider details
- NPI number
- 1598175481
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5302024206 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4475 24th Ave.
Fort Gratiot, MI 48059
Phone: (810) 385-2164
Fax: (810) 385-2165
Approximate (ZIP-level) locationGet directions
Mailing address
2949 Shorewood Blvd
Fort Gratiot, MI 48059-3126
Registry dates
- Enumerated
- 2014-05-01
- Last updated
- 2014-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.