Individual
KRISTEN KAYE THIELEMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 E CHERRY AVE, JONESBORO, AR 72401-3372
(870) 932-5551
(870) 932-5552
Mailing address
105 LINCOLN CV, JONESBORO, AR 72404-8799
(870) 761-5927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8526
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191221721
—
AR
Enumeration date
04/29/2012
Last updated
04/29/2012
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