Individual
KATHY KENNEDY LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
255 COUNTY ROAD 496, MOUNTAIN HOME, AR 72653-5274
(225) 719-2540
Mailing address
255 COUNTY ROAD 496, MOUNTAIN HOME, AR 72653-5274
(225) 719-2540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R086276
AR
163W00000X
Registered Nurse
RN087116
LA
363LF0000X
Family Nurse Practitioner
Primary
A003831
AR
Other
Enumeration date
01/25/2007
Last updated
09/20/2024
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