Individual
KELLY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2116 SWEET GUM DR, JONESBORO, AR 72401-3603
(870) 273-3329
Mailing address
2116 SWEET GUM DR, JONESBORO, AR 72401-3603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2494
AR
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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