Kelley, Brenda

Kelley, Brenda is an individual health care provider with primary practice located at 1003 Evergreen Dr , Jonesboro AR 72401-9783. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kelley, Brenda can be contacted via phone (870) 886-8715.

Contact Information

Primary practice address
1003 Evergreen Dr Jonesboro AR 72401-9783
Fax: (870) 886-2653
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PTA1770 Arkansas

Profile Details

NPI number 1003895251
LBN Legal business name Kelley, Brenda
Credentials PTA1770
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2006
Last updated Jul 9th, 2007 - about 17 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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