Provider Demographics
NPI:1265050843
Name:LEDFORD, KELSIE B (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KELSIE
Middle Name:B
Last Name:LEDFORD
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 1:4394 SAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45416-2116
Mailing Address - Country:US
Mailing Address - Phone:270-668-2141
Mailing Address - Fax:
Practice Address - Street 1:725 S LUDLOW ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-2610
Practice Address - Country:US
Practice Address - Phone:937-208-8841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0207241835P2201X
OH034386741835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care