Individual
MRS. KELLIE L PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
5305 VILLAGE PKWY STE 1, ROGERS, AR 72758-8116
(479) 387-4796
Mailing address
5305 VILLAGE PKWY STE 1, ROGERS, AR 72758-8116
(479) 387-4796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12061606
AR
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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