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Individual

MRS. MISTY MILAM KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
133 MILITARY RD, MARION, AR 72364-1755
(870) 739-5111
Mailing address
524 EVELYN RD, MARION, AR 72364-3046
(870) 739-0040

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1443
AR

Other

Enumeration date
02/19/2007
Last updated
07/08/2007
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