Tiffany L. Kellems CDA
Day Training/Habilitation Specialist in Ash Flat, AR(View on Map)
Full Name
Tiffany Lillian Kellems CDA
NPI Number
1326311234
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/23/2012
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
47 AGNOS RD
47 AGNOS RD
City
Ash Flat
Ash Flat
State
AR
AR
Postal Code
72513-9778
72513-9778
Country
US
US
Telephone Number
(870) 994-3103
(870) 994-3103
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/23/2012