Individual
KANDA WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
(870) 532-9484
Mailing address
1904 PRESTON ST, KENNETT, MO 63857-4028
(870) 532-2600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2267
AR
Other
Enumeration date
08/19/2006
Last updated
04/04/2016
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