Individual
DR. KELLY KAY BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1515 FAYETTEVILLE RD, VAN BUREN, AR 72956-2246
(479) 474-7171
(479) 474-3131
Mailing address
1923 PARKRIDGE DR, PO BOX 6877, VAN BUREN, AR 72956-7477
(479) 474-7171
(479) 474-3131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8452
AR
183500000X
Pharmacist
Primary
AR8452
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8452
STATE LICENSE NUMBER
AR
Enumeration date
05/19/2006
Last updated
08/23/2022
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