Individual
KATHLEEN LEWALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 S MAIN ST, HARRISON, AR 72601-5506
(870) 743-3267
Mailing address
418 S MAIN ST, HARRISON, AR 72601-5506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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