Individual
KELLY NICOLE DUZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2687
Mailing address
29 OPHELIA DR, MAUMELLE, AR 72113-6214
(501) 765-6572
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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