Kelli Gail Gillispie
Individual provider Active NPI Pharmacist · Grayling, MI
NPI 1053554758 · NPPES record last updated Apr 9, 2009
Key facts
- NPI
- 1053554758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302034626 (MI)
- Practice address
- 312 S James St
Grayling, MI 49738-1818 - Phone
- (989) 348-1350
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302034626 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302034626 | MI | Yes |
Addresses
Primary practice location
312 S James St
Grayling, MI 49738-1818
Mailing address
7406 Pheasant Run
Gaylord, MI 49735-7735
Phone (989) 350-0017
Other names
- Kelli Gail Catterfeld
Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.