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MRS. ALICIA A KELLEY MHPP

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1083890446

Individual Registrant:
MRS. ALICIA A KELLEY MHPP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
108 N FIRST ST  OXFORD, AR 72565-9038 US
Tel: 501-315-3344  Fax: --

Contact information for business:
PO BOX 63  MELBOURNE, AR 72556-0063 US
Tel: 870-847-0747  Fax: --

Registration Information:
NPI: 1083890446
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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