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Individual

AMBER KIEFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 WILSON LOOP, WARD, AR 72176-5005
(501) 941-5630
Mailing address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4366
TN
235Z00000X
Speech-Language Pathologist
Primary
SP3172
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191035721
AR
Enumeration date
03/15/2012
Last updated
05/09/2014
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