Individual
ALISA LORENE KENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
518 E FRONT ST, LONOKE, AR 72086-3262
(501) 676-2786
(501) 676-0697
Mailing address
PO BOX 980, LONOKE, AR 72086-0980
(501) 676-2786
(501) 676-0697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTR2143
AR
Other
Enumeration date
10/23/2007
Last updated
04/24/2009
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