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Individual

MRS. KELLI CRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
905 REDMOND RD, JACKSONVILLE, AR 72076
(501) 834-4100
Mailing address
2520 W MAIN ST, JACKSONVILLE, AR 72076

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1560
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137782721
AR
01
5X029
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/14/2007
Last updated
08/16/2019
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