| Doctor Name: | KELLI DENTON |
| NPI Number: | 1134477003 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 7800 Highway 107 Sherwood, AR - 721205200 |
| Business Phone Number: | 5018344174 |
| Business Fax Number: | 5018344179 |
| Mailing Address: | Po Box 15968, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722315968 |
| Phone Number: | 5012211843 |
| Fax Number: | 5012212376 |
| NPI Enumeration Date: | 08/26/2012 |
| NPI Last Update Date: | 12/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |