Individual
KAYLA MANATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2125 ROBINSON AVE, CONWAY, AR 72034-4940
(501) 358-6700
Mailing address
2125 ROBINSON AVE, CONWAY, AR 72034-4940
(501) 358-6700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005368
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005368
CERTIFIED NURSE PRACTITIONER
AR
Enumeration date
09/27/2017
Last updated
05/01/2025
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