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Individual

AMANDA KATLIN REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3317 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4056
(479) 521-2752
(479) 521-4603
Mailing address
12804 RHODEN LN, LOWELL, AR 72745-9198
(417) 291-2816

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA-993
AR
363A00000X
Physician Assistant
Primary
PA-993
AR

Other

Enumeration date
01/31/2014
Last updated
09/14/2025
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