Individual
LOREN KAYCI KEATHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S ELMIRA AVE, RUSSELLVILLE, AR 72802-9646
(479) 968-7118
(479) 968-8628
Mailing address
P.O. DRAWER 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A972
AR
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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