Individual
KERRY SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 N 10TH ST, PARIS, AR 72855-2820
(479) 963-3143
Mailing address
1307 E 13TH ST, RUSSELLVILLE, AR 72802-7428
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP #1269
AR
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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