Individual
KATHRYN B KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
32 HUMMINGBIRD LANE, CONWAY, AR 72032-1296
(501) 329-3442
(501) 329-3517
Mailing address
32 HUMMINGBIRD LN, CONWAY, AR 72032-5903
(501) 329-3442
(501) 961-9035
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R13575
AR
Other
Enumeration date
04/17/2007
Last updated
07/09/2007
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