Individual
KELLY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-7736
(479) 750-8854
Mailing address
2811 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-7736
(479) 750-8854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1939
AR
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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