Organization
MISTY ZELK, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON A HARTER (CLINIC MANAGER)
(501) 225-9990
Entity
Organization
Contact information
Practice address
11908 KANIS RD, SUITE G-8, LITTLE ROCK, AR 72211-3733
(501) 225-9990
(501) 225-9998
Mailing address
11908 KANIS RD, SUITE G-8, LITTLE ROCK, AR 72211-3733
(501) 225-9990
(501) 225-9998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E1505
AR
363L00000X
Nurse Practitioner
A01721
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730109877
INDIVIDUAL NPI NUMBER
AR
01
—
1962401463
ZELK NPI
AR
Enumeration date
04/24/2007
Last updated
12/05/2007
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