Individual
MRS. MICHELE R KILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
5203 WILLOW CREEK DR, SPRINGDALE, AR 72762-0876
(479) 251-8000
(479) 444-6856
Mailing address
3794 ROCK SPRINGS ST, SPRINGDALE, AR 72762-8892
(479) 756-0980
(479) 756-0980
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
632703
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
A03324
AR
Other
Enumeration date
09/18/2008
Last updated
08/31/2010
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