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Individual

DR. KATLYNNE MICHELLE GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
621 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-6799
Mailing address
621 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 932-6799

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
201786
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14356177
ASHA LISCENSURE
01
201786
STATE LISCENSURE
AR
Enumeration date
06/09/2022
Last updated
06/09/2022
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