Organization
FEASTER TRAIL EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
3050 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4218
(870) 245-2622
Mailing address
350 W CEDAR ST FL 4, PENSACOLA, FL 32502-4910
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2013
Last updated
08/26/2019
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