Individual
MS. KEMNICOLE RENEE' EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
317 OAK LN, LITTLE ROCK, AR 72205-4508
(985) 870-6536
(501) 615-8812
Mailing address
317 OAK LN, LITTLE ROCK, AR 72205-4508
(985) 870-6536
(501) 615-8812
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L056632
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337261797
—
AR
Enumeration date
04/28/2025
Last updated
04/28/2025
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