Individual
KRYSTLE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF-SLP
Contact information
Practice address
599 N CENTENNIAL AVE, WEST FORK, AR 72774-2711
(479) 871-9820
Mailing address
984 PEMBRIDGE DR, CAVE SPRINGS, AR 72718-9421
(479) 871-9820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8319
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183594721
—
AR
Enumeration date
10/13/2010
Last updated
10/13/2010
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