Female

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)

Code

373H00000X

Primary Taxonomy

Yes

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

Provider Address

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