Individual
KELLY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT,CT,RDMS
Contact information
Practice address
706 W GROVE ST, EL DORADO, AR 71730-4416
(870) 310-1757
Mailing address
4014 CALION HWY, EL DORADO, AR 71730-9447
(870) 310-1757
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
59296
AR
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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