Provider Demographics
NPI:1619380656
Name:SINGER, KELLEY ERIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KELLEY
Middle Name:ERIN
Last Name:SINGER
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 1:54 STONEBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-5336
Mailing Address - Country:US
Mailing Address - Phone:270-401-5282
Mailing Address - Fax:
Practice Address - Street 1:1028 N DIXIE AVE STE 100
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701
Practice Address - Country:US
Practice Address - Phone:270-982-0303
Practice Address - Fax:270-982-2183
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist