Individual
KELSIE RAE BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 ROGERS AVE STE 600, FORT SMITH, AR 72903-4073
(479) 573-3101
(479) 573-3102
Mailing address
7001 ROGERS AVE STE 600, FORT SMITH, AR 72903-4073
(479) 573-3101
(479) 573-3102
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
213541
AR
Other
Enumeration date
02/01/2022
Last updated
03/14/2022
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