Individual
KRISTINA L BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPE
Contact information
Practice address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 443-5575
(479) 443-9554
Mailing address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 443-5575
(479) 443-9554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11-10E
AR
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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