Individual
KELLY ANN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5710 S 66TH ST, CAVE SPRINGS, AR 72718-8447
(479) 601-3537
Mailing address
5710 S 66TH ST, CAVE SPRINGS, AR 72718-8447
(479) 601-3537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
506
AR
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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