Organization
DE QUEEN FAMILY MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H. KELLEY MD (AUTHORIZED OFFICIAL)
(870) 584-3627
Entity
Organization
Contact information
Practice address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
(870) 584-3627
Mailing address
500 E COLLIN RAYE DR, DE QUEEN, AR 71832-8048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319492002
—
AR
Enumeration date
04/04/2024
Last updated
05/31/2024
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