NPI 1326311234
Tiffany Lillian Kellems, CDA
Practice location
- Address
- 47 Agnos Rd, Ash Flat, AR 72513-9778
- Phone
- (870) 994-3103
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1326311234
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Feb 2012
- Record last updated
- 23 Feb 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.