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Individual

VANESSA KUYKENDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP, CCC

Contact information

Practice address
370 EAST REDCUT RD., FOUKE, AR 71837-0020
(870) 653-7887
(870) 653-7885
Mailing address
370 EAST REDCUT ROAD, FOUKE, AR 71837-0020
(870) 653-7887
(870) 653-7885

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1639
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162691721
AR
Enumeration date
03/09/2007
Last updated
10/15/2012
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