Individual
KELLY CALLAN RAPPEPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.D.
Contact information
Practice address
5701 JENNY LIND RD, FORT SMITH, AR 72908-7435
(479) 646-2971
(479) 646-8464
Mailing address
5701 JENNY LIND RD, FORT SMITH, AR 72908-7435
(479) 646-2971
(479) 646-8464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07244
AR
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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