Individual
KELLEE MATLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 227-7797
(501) 227-7753
Mailing address
1415 BRECKENRIDGE DR, STE E, LITTLE ROCK, AR 72227-4819
(501) 227-7797
(501) 227-7753
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01294
AR
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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