Provider Demographics
NPI:1568245363
Name:ROMANS, KELSEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:ROMANS
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 1:3115 INDIANAPOLIS AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-4821
Mailing Address - Country:US
Mailing Address - Phone:812-577-5007
Mailing Address - Fax:
Practice Address - Street 1:1601 E MICHIGAN RD
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-4058
Practice Address - Country:US
Practice Address - Phone:317-421-2356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029845A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist