Individual
MS. KATHLEEN DIANE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6640 CONGO RD, BENTON, AR 72019-6913
(501) 794-4110
(501) 316-9360
Mailing address
6640 CONGO RD, BENTON, AR 72019-6913
(501) 794-4110
(501) 316-9360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03385 APN
AR
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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