Individual
MRS. REGINA S KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
121 COX ST, BENTON, AR 72015-4611
(501) 776-0691
(501) 776-0692
Mailing address
1203 KYNLEE CV, BRYANT, AR 72022-8509
(501) 847-0553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1751
AR
Other
Enumeration date
03/05/2007
Last updated
07/09/2007
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