Individual
KEDECIA NEYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 BROOKSIDE DR, BRYANT, AR 72022-8327
(501) 580-1184
Mailing address
402 BROOKSIDE DR, BRYANT, AR 72022-8327
(501) 580-1184
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary
171M00000X
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
AR
Enumeration date
06/02/2014
Last updated
06/02/2014
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