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Individual

KELLY C YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1501 RAINBOW RD, ROGERS, AR 72758-1481
(479) 521-8326
(479) 521-5439
Mailing address
1501 RAINBOW RD, ROGERS, AR 72758-1481
(479) 521-8326
(479) 521-5439

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
O-T1004
AR

Other

Enumeration date
02/08/2010
Last updated
02/08/2010
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