Individual
KAYLA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18 COUNTY ROAD 458, MOUNTAIN HOME, AR 72653-8212
(870) 425-5252
Mailing address
18 COUNTY ROAD 458, MOUNTAIN HOME, AR 72653-8212
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L48983
AR
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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