Individual
KRISTEN A CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 776-0411
Mailing address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 776-0411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L47970
AR
Other
Enumeration date
09/28/2017
Last updated
07/21/2022
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