Individual
KEITH L MERRIWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1615 MARTIN LUTHER KING BLVD, MALVERN, AR 72104-2233
(501) 332-5236
(501) 332-8535
Mailing address
125 WELLNESS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/12/2009
Last updated
06/05/2019
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