Individual
KELLEY M HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1404 EAST CHURCH STREET, WARREN, AR 71671
(870) 226-5856
(870) 226-6208
Mailing address
790 ROBERTS DRIVE, MONTICELLO, AR 71655
(870) 367-2461
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L51305
AR
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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