Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JO THIEDE, RPH
ActiveKELLY JO THIEDE, RPH is a Pharmacist healthcare provider located in PORTAGE, Michigan. NPI 1255682746 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PORTAGE, MI
Registration Details
- NPI Number
- 1255682746
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2012 (13.867088870667 yrs)
- Last Updated
- Sep 25, 2012
- License
-
5302411010 (MI)
Practice Information
- Address
-
6330 S WESTNEDGE AVEPORTAGE, MI, 490023572Browse MI providers · Browse ZIP 49002
- Phone
- 2693274508
- Fax
- 2693276740
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| PATRICIA HOOLSEMA | R.PH. | 1114905536 |
| MS. KIMBERLEY ANNE FRANKE | PHARM.D. | 1316907470 |
| DR. DEREK JAMES QUINN | PHARM.D., R.PH. | 1609825173 |
| MR. WARREN R WHALEY | R.PH. | 1003945429 |
| MS. JESSICA ERIN BURLEY | RPH | 1366567125 |
| MR. CHARLES DOUGLAS LOUISELL | R.PH. | 1306061510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.