KELLY JO THIEDE RPH
NPI 1255682746
Pharmacist in Portage, MI
About Kelly Jo Thiede Rph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JO THIEDE RPH (NPI 1255682746) is an individual pharmacist in Portage, Michigan, licensed in Michigan (5302411010) and active in the NPI registry since September 2012.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Thiede's NPI number?
The NPI number for Kelly Thiede is 1255682746. It was assigned to this individual provider in the NPPES registry on September 25, 2012.
Where is Kelly Thiede located?
Kelly Thiede practices at 6330 S Westnedge Ave, Portage, MI 49002. The listed phone number is (269) 327-4508.
What is Kelly Thiede's specialty?
The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.
When was this NPI record last updated?
The NPPES record for Kelly Thiede was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.