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Individual

GWENDOLYN LASHAWN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 CHILDRENS WAY, SLOT 512-39, LITTLE ROCK, AR 72202-3500
(501) 526-8770
(501) 526-8760
Mailing address
1 CHILDRENS WAY, SLOT 512-39, LITTLE ROCK, AR 72202-3500
(501) 526-8700
(501) 526-8740

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R56148
AR

Other

Enumeration date
07/27/2012
Last updated
07/27/2012
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