Individual
KELSEY RAYE MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
4800 E JOHNSON AVE, JONESBORO, AR 72405-8413
(870) 936-8000
Mailing address
105 LEXI LN, BROOKLAND, AR 72417-8009
(870) 351-3219
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
190702
AR
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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