Individual
KATERINA LYNN DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N 3RD ST, DARDANELLE, AR 72834-3802
(479) 229-6191
(479) 229-6194
Mailing address
200 N 3RD ST, DARDANELLE, AR 72834-3802
(479) 229-6191
(479) 229-6194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005451
AR
Other
Enumeration date
01/09/2018
Last updated
09/27/2019
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