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Individual

KIMARA JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
25 SHERATON DR, LITTLE ROCK, AR 72209-2045
(501) 447-5646
Mailing address
25 SHERATON DR, LITTLE ROCK, AR 72209-2045
(501) 447-5646

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
SP#2031
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116837743
AR
Enumeration date
07/15/2008
Last updated
05/27/2014
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