Individual
JENNIFER DENISE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2100 N 62ND ST, FORT SMITH, AR 72904-5163
(479) 782-0606
(479) 783-2206
Mailing address
610 JENNY WREN ST, VAN BUREN, AR 72956-2526
(479) 806-6380
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07236
AR
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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