Individual
KEISHA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMSW
Contact information
Practice address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(870) 394-4643
(870) 394-4646
Mailing address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(479) 464-1060
(479) 271-6307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/05/2012
Last updated
06/10/2016
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