Provider Demographics
NPI:1790075729
Name:ABELL, JOSEPH KEITH (BSPHARM)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:KEITH
Last Name:ABELL
Suffix:
Gender:M
Credentials:BSPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 CEDAR POINT DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-6231
Mailing Address - Country:US
Mailing Address - Phone:502-212-2929
Mailing Address - Fax:206-337-7271
Practice Address - Street 1:344 CEDAR POINT DR
Practice Address - Street 2:
Practice Address - City:MOUNT WASHINGTON
Practice Address - State:KY
Practice Address - Zip Code:40047-6231
Practice Address - Country:US
Practice Address - Phone:502-212-2929
Practice Address - Fax:206-337-7271
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2013-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY011042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist