Individual
JESSICA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
1520 FIANNA PLACE CT, FORT SMITH, AR 72908-8580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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