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Organization
THE CLINIC
Active
Organization
THE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KIMBLE (ADMIN)
(870) 813-0300
Entity
Organization
Contact information
Practice address
402 SW LARKSPUR DR, WALNUT RIDGE, AR 72476-1750
(870) 813-0300
(870) 313-0380
Mailing address
402 SW LARKSPUR DR, WALNUT RIDGE, AR 72476-1750
(870) 813-0300
(870) 313-0380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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