Individual
KIMBERLY P PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 CLINTON ST STE 201, ARKADELPHIA, AR 71923-5967
(501) 590-2839
Mailing address
PO BOX 318, MABELVALE, AR 72103-0318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2233
AR
Other
Enumeration date
03/28/2007
Last updated
07/09/2007
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