Individual
KELLY LEANN PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
325 S GILES AVE, GENTRY, AR 72734-9589
(479) 736-8551
Mailing address
325 S GILES AVE, GENTRY, AR 72734-9589
(479) 736-8551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1092
AR
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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