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HATTIE KELSEY CNA

>> Home Health Aide >> Nursing Service Related Providers

Registrant NPI Number: 1962487652

Individual Registrant:
 HATTIE  KELSEY CNA
Gender: F

Location and contact information for practice:
901 S 3RD ST  MC GEHEE, AR 71654-2563 US
Tel: 870-222-3805  Fax: 870-222-3984

Contact information for business:
PO BOX 393  TILLAR, AR 71670-0393 US
Tel: 870-392-2452  Fax: --

Registration Information:
NPI: 1962487652
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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