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Contact Information

KIMBERLY D SHELBY, MCD, CCC-SLP
105 N OAK ST
BROOKLAND, AR72417
 Phone: 870-935-7809
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KIMBERLY D SHELBY · (Female)

NPI # 1245442771
Status Active
Credentials MCD, CCC-SLP
Entity Individual
Enumeration date 05/04/2007
Last updated 07/05/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # SP663
  • AR Medicaid 121751721
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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