Individual
KELLY HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
(870) 972-4968
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4000
(870) 972-4968
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E5057
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172431001
—
AR
Enumeration date
04/03/2007
Last updated
11/08/2011
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