Individual
KAYLA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2713 SE I ST STE 5, BENTONVILLE, AR 72712-0078
(479) 250-4350
Mailing address
513 S DODSON RD APT C1, ROGERS, AR 72758-7304
(870) 847-6290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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