Individual
MADISON A MCKISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
140 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 520-8761
Mailing address
4116 BRANDYWINE DR, JONESBORO, AR 72404-0718
(870) 243-2132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201326
AR
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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