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1548818065
KELLY MARIE WHITLEY
FAYETTEVILLE, AR
NPI
1548818065
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Former Name
KELLY MARIE VANLANDINGHAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 4732)
Enumeration Date
2019-08-28
Last Update Date
2021-07-20
Business Address
KELLY MARIE WHITLEY PT
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4932
Phone number: 479-521-8326
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Mailing Address
KELLY MARIE WHITLEY PT
2740 COLLEGE AVE
CONWAY, AR 72034-6141
Phone number: 501-329-5459
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