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Individual

KIMBERLY ANN CALLAWAY GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
317 OAK ST STE 3, CONWAY, AR 72032-5679
(501) 358-6396
Mailing address
23 COLT LOOP, GREENBRIER, AR 72058-9197
(501) 581-0352

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
202217
AR

Other

Enumeration date
06/03/2020
Last updated
01/25/2023
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