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1710946330
KENNETH J KELLEY
HOT SPRINGS, AR
NPI
1710946330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR C01582)
Enumeration Date
2006-03-22
Last Update Date
2008-03-28
Business Address
-- KENNETH J KELLEY CRNA
1910 MALVERN AVE
HOT SPRINGS, AR 71901-7752
Phone number: 501-321-1000
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Mailing Address
-- KENNETH J KELLEY CRNA
PO BOX 22390
HOT SPRINGS, AR 71903-2390
Phone number: 800-235-1415
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