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Individual

KRISTY A ENGLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTL

Contact information

Practice address
116 W WATSON ST # 1, FAYETTEVILLE, AR 72701-4232
(870) 612-2224
Mailing address
986 ELMWOOD STREET, STE B, SPRINGDALE, AR 72762
(479) 750-7778

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
O-T1150
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
O-T1150
AR
Enumeration date
09/07/2011
Last updated
09/07/2011
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