Hair, Kelly

Hair, Kelly is an individual health care provider with primary practice located at 2707 Browns Ln , Jonesboro AR 72401-7213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Hair, Kelly can be contacted via phone (870) 972-4000.

Contact Information

Primary practice address
2707 Browns Ln Jonesboro AR 72401-7213
Fax: (870) 972-4968
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E5057 Arkansas

Profile Details

NPI number 1013038082
LBN Legal business name Hair, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Nov 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013038082 NPPES
Arkansas MEDICAID 172431001

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