Provider Demographics
NPI:1528188828
Name:RINGLEY, KELLEY MICHELLE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KELLEY
Middle Name:MICHELLE
Last Name:RINGLEY
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 1:413 WEXFORD CIR
Mailing Address - Street 2:
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-4730
Mailing Address - Country:US
Mailing Address - Phone:478-955-9562
Mailing Address - Fax:
Practice Address - Street 1:805 RUSSELL PKWY
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-6058
Practice Address - Country:US
Practice Address - Phone:478-922-4458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist