Individual
DR. JENNIFER JOHNSON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 MADISON ST, CLARENDON, AR 72029-2706
(870) 747-3381
Mailing address
245 MADISON ST, CLARENDON, AR 72029-2706
(870) 747-3381
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E6540
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184379001
—
AR
Enumeration date
01/11/2007
Last updated
04/04/2024
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