Provider Demographics
NPI:1134731698
Name:DEEL, KAYLEE (PHARMD)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:DEEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KAYLEE
Other - Middle Name:
Other - Last Name:DEEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KAYLEE DEEL PHARMD
Mailing Address - Street 1:6220 FLAT FRK
Mailing Address - Street 2:
Mailing Address - City:SALYERSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41465-7217
Mailing Address - Country:US
Mailing Address - Phone:276-596-4484
Mailing Address - Fax:
Practice Address - Street 1:308 S MAYO TRL
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1247
Practice Address - Country:US
Practice Address - Phone:606-789-4950
Practice Address - Fax:606-789-7354
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY021564183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist