Individual
KAYLAH CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 ALDERSGATE RD, LITTLE ROCK, AR 72205-6606
(501) 231-0181
Mailing address
1210 ALDERSGATE RD, LITTLE ROCK, AR 72205-6606
(501) 231-0181
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
208000000X
Pediatrics Physician
00000000000
AR
Other
Enumeration date
10/12/2020
Last updated
11/27/2020
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