Provider Demographics
NPI:1619592318
Name:BELL, KATELYN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATELYN
Middle Name:
Last Name:BELL
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 1:20 MEDICAL VILLAGE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5404
Mailing Address - Country:US
Mailing Address - Phone:859-301-6790
Mailing Address - Fax:859-301-6791
Practice Address - Street 1:20 MEDICAL VILLAGE DR STE 103
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-5404
Practice Address - Country:US
Practice Address - Phone:859-301-6790
Practice Address - Fax:859-301-6791
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY018522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist