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1144618513
KELLY E KENNEDY
FAYETTEVILLE, AR
NPI
1144618513
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Former Name
KELLY E REYNOLDS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-01-07
Last Update Date
2015-12-10
Business Address
-- KELLY E KENNEDY
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
-- KELLY E KENNEDY
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-695-1240
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