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General NPI Number Information
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NPI Number | 1174576003
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Entity Type | Individual
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Provider Name | KELLY KAY BARLOW PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 1515 FAYETTEVILLE RD
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City | VAN BUREN
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State | AR
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Zip | 72956-2246
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Country | US
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Telephone | 479-474-7171
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Fax | 479-474-3131
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Provider Business Mailing Address
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Address Line | 1923 PARKRIDGE DR PO BOX 6877
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City | VAN BUREN
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State | AR
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Zip | 72956-7477
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Country | US
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Telephone | 479-474-7171
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Fax | 479-474-3131
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | AR8452
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 8452
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License Number State | AR
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