Individual
MRS. KYLA N FUTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
300 SOUTHWEST SQ, JONESBORO, AR 72401-5984
(870) 336-0220
(870) 336-0221
Mailing address
4105 COVINGTON DR, JONESBORO, AR 72404-9455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2361
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157767721
—
AR
01
—
5R204
AR BCBS
AR
Enumeration date
04/18/2007
Last updated
05/25/2011
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