Individual
KIRSTEN LEIGH KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CPNP
Contact information
Practice address
2505 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 327-6000
(501) 450-7559
Mailing address
2505 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 327-6000
(501) 450-7559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01820
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159169758
—
AR
Enumeration date
09/05/2006
Last updated
12/07/2011
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