Individual
MR. KENNETH ALDWIN PRIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2323 WASHINGTON AVE, CONWAY, AR 72032-2766
(501) 450-6350
Mailing address
PO BOX 344, CONWAY, AR 72033-0344
(501) 450-6350
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
89-19EI
AR
Other
Enumeration date
12/31/2007
Last updated
07/30/2010
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