Individual
KITESY PURTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 W CLARK RD, CLARKSVILLE, AR 72830-3919
(501) 514-2218
Mailing address
75 CEDAR CREEK RD, JERUSALEM, AR 72080-8356
(501) 514-2218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202114
AR
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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