Individual
DR. KELLY ANN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3201 SE J ST, BENTONVILLE, AR 72712
(479) 273-3150
Mailing address
3102 SE J ST, BENTONVILLE, AR 72712-3796
(479) 273-3150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15727
AR
111N00000X
Chiropractor
6294
GA
Other
Enumeration date
08/04/2011
Last updated
07/25/2013
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