Brenda Kelley PTA1770

NPI 1003895251 - Specialist - 174400000X

NPI Details
NPI 1003895251
Gender Female
Enumeration Date 01/14/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1003 EVERGREEN DR
JONESBORO AR, 72401-9783, US
Phone (870) 886-8715
Fax (870) 886-2653
Business Location
1003 EVERGREEN DR
JONESBORO AR, 72401-9783, US
Phone (870) 886-8715
Fax (870) 886-2653
Toxanomy
Taxonomy Code 174400000X
License State Arkansas
License Number PTA1770
Remove 1003895251 NPI Number
 

According to our database, Brenda Kelley PTA1770 NPI is 1003895251, taxonomy code is 174400000X and license number is PTA1770, license state is located at Arkansas. Brenda Kelley PTA1770 physically located at 1003 Evergreen Dr, Jonesboro AR, 72401-9783. NPI Number Brenda Kelley PTA1770 has the Individual type.

Sponsored links

1003895251 NPI number is provided on an as is basis without warranty of any kind. 1003895251 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Kelley PTA1770 are for informational purposes only.