Individual
MATTIE KEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1646 HUTTIG HWY, STRONG, AR 71765-9780
(870) 314-1314
Mailing address
528 W FAULKNER ST, EL DORADO, AR 71730-4519
(870) 314-1314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
223445
AR
Other
Enumeration date
05/03/2023
Last updated
08/09/2023
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