Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Jo Thiede, RPH

Individual provider Pharmacist · NPI 1255682746

Kelly Jo Thiede, RPH is a Pharmacist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

6330 S Westnedge Ave
Portage, MI 49002-3572
Phone: (269) 327-4508
Fax: (269) 327-6740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302411010 (MI)

Record details

NPI number1255682746
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESSeptember 25, 2012

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