Individual
PEGGY ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7800 DALLAS ST, FORT SMITH, AR 72903-4278
(479) 259-9286
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A03551
AR
Other
Enumeration date
06/10/2011
Last updated
10/30/2019
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