Individual
KELLIE MANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4318 US HWY 62-65, HARRISON, AR 72601
(870) 414-4040
(870) 741-7618
Mailing address
4318 US HWY 62-65, HARRISON, AR 72601
(870) 414-4040
(870) 741-7618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
219003
AR
363LF0000X
Family Nurse Practitioner
Primary
219003
AR
Other
Enumeration date
09/15/2014
Last updated
02/27/2023
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