Kelsey Lane Holder, PHARMD
Individual provider Active NPI Pharmacist · Charleston, MO
NPI 1942958798 · NPPES record last updated Mar 11, 2022
Key facts
- NPI
- 1942958798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2021033955 (MO)
- Practice address
- 406 S Main St
Charleston, MO 63834-1644 - Phone
- (573) 683-3307
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021033955 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan & Seiler Inc | Current |
Accepting new patients | |
| Logan & Seiler Inc | Past |
Accepting new patients |
Locations
406 S Main St
Charleston, MO 63834
Phone (573) 683-3307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2021033955 | MO | Yes |
Addresses
Primary practice location
406 S Main St
Charleston, MO 63834-1644
Mailing address
406 S Main St
Charleston, MO 63834-1644
Phone (573) 683-3307
Other providers in Charleston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2022. 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.