Individual
KELLY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-1737
(870) 551-3724
Mailing address
PO BOX 2192, FORREST CITY, AR 72336-2192
(870) 208-8362
(870) 551-3724
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
01/12/2026
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