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1265727960
PEGGY ANN KELLY
FORT SMITH, AR
NPI
1265727960
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Former Name
PEGGY ANN JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AR A03551)
Enumeration Date
2011-06-10
Last Update Date
2019-10-30
Business Address
PEGGY ANN KELLY APN
7800 DALLAS ST
FORT SMITH, AR 72903-4278
Phone number: 479-259-9286
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Mailing Address
PEGGY ANN KELLY APN
PO BOX 3528
FORT SMITH, AR 72913-3528
Phone number: 479-274-2000
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