Provider Demographics
NPI:1003171034
Name:ORMSBY, KELSIE PAIGE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KELSIE
Middle Name:PAIGE
Last Name:ORMSBY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 DESTINATION DR
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-7968
Mailing Address - Country:US
Mailing Address - Phone:828-235-2795
Mailing Address - Fax:
Practice Address - Street 1:630 CHAMPION DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-3032
Practice Address - Country:US
Practice Address - Phone:828-235-2795
Practice Address - Fax:828-235-8276
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist