Individual
KENDRA L FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
720 RENA RD, VAN BUREN, AR 72956-6403
(479) 471-3190
(479) 471-3193
Mailing address
720 RENA RD, VAN BUREN, AR 72956-6403
(479) 471-3190
(479) 471-3190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
382
AR
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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