| Kelly Dundon Pllc | |
|
1 Gamlingay Ln Bella Vista AR 72714-1819 | |
| (469) 449-7481 | |
| Not Available |
| Full Name | Kelly Dundon Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Gamlingay Ln, Bella Vista, Arkansas |
| Authorized Official Name and Position | Kelly Dundon (MANAGER) |
| Authorized Official Contact | 4694497481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Dundon Pllc 1 Gamlingay Ln Bella Vista AR 72714-1819 Ph: (469) 449-7481 | Kelly Dundon Pllc 1 Gamlingay Ln Bella Vista AR 72714-1819 Ph: (469) 449-7481 |
| NPI Number | 1346064870 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346064870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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