Individual
DR. KELLEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6226 BASELINE RD, LITTLE ROCK, AR 72209-4728
(501) 562-4123
Mailing address
6226 BASELINE RD, LITTLE ROCK, AR 72209-4728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2794
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114556608
—
AR
Enumeration date
07/28/2006
Last updated
07/30/2020
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