Individual
MS. KATHLEEN M MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
200 W TYLER AVE, WEST MEMPHIS, AR 72301-4223
(501) 658-2718
(501) 724-3305
Mailing address
485 HWY 124, PO BOX 153, PANGBURN, AR 72121
(501) 658-2718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A02928
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164961758
—
AR
Enumeration date
11/30/2006
Last updated
06/12/2009
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