Individual
FONDA KAY MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
706 S MAIN ST STE 2, MOUNTAIN HOME, AR 72653-4458
(870) 501-7101
(501) 203-0909
Mailing address
PO BOX 2818, MOUNTAIN HOME, AR 72654-2818
(417) 350-0196
(501) 203-0909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174771091
—
AR
05
—
174413795
—
AR
Enumeration date
09/04/2008
Last updated
04/28/2026
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