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Organization
DE QUEEN FAMILY MEDICAL ASSOCIATES PLLC
Active
Organization
DE QUEEN FAMILY MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H. KELLEY MD (AUTHORIZED OFFICIAL)
(870) 584-3627
Entity
Organization
Contact information
Practice address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
(870) 584-3627
Mailing address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319492002
—
AR
Enumeration date
04/04/2024
Last updated
05/31/2024
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