Individual
MRS. KELLY BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
610 N MISSOURI ST, STE 1, WEST MEMPHIS, AR 72301-3148
(870) 400-0179
Mailing address
610 N MISSOURI ST, STE 1, WEST MEMPHIS, AR 72301-3148
(870) 400-0179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1325
AR
Other
Enumeration date
11/03/2006
Last updated
10/09/2025
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