Individual
KIMBERLY D STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.P.
Contact information
Practice address
5701 N DETONTI RD, BAUXITE, AR 72011-9635
(501) 778-3347
Mailing address
5701 N DETONTI RD, BAUXITE, AR 72011-9635
(501) 778-3347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
P01116
AR
Other
Enumeration date
05/30/2007
Last updated
10/16/2008
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