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NPI Profile for CONNIE KELTON in BLEVINS, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1952683773 |
|
| Status | Active | |
| Credentials | LAC | |
| Entity | Individual | |
| Enumeration date | 09/19/2011 | |
| Last updated | 09/19/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CONNIE KELTON
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CONNIE KELTON, LAC