Individual
DR. KRISTIN KAY STOBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
25 OVERLOOK TRL, CONWAY, AR 72032-8535
(501) 505-6927
Mailing address
25 OVERLOOK TRL, CONWAY, AR 72032-8535
(501) 505-6927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16321
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162862718
—
AR
01
—
1632
CHIROPRACTIC LICENSE
AR
01
—
16321
CHIROPRACTIC LICENSE
AR
01
—
5P021
BC/BS
AR
Enumeration date
09/06/2006
Last updated
09/18/2024
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