Individual
KYLIE D FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BUSINESS PARK DR STE 13, GREENBRIER, AR 72058-9295
(501) 679-6011
(501) 679-0799
Mailing address
121 HIGHWAY 25 N, GREENBRIER, AR 72058-9448
(501) 581-3671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201129
AR
235Z00000X
Speech-Language Pathologist
—
AR
Other
Enumeration date
06/22/2019
Last updated
06/26/2020
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