Individual
KELLY TRUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 WILSON LOOP ROAD, WARD, AR 72176
(501) 941-5630
Mailing address
712 VINSON ST, LITTLE ROCK, AR 72205-1527
(501) 529-2093
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2386
AR
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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