Individual
KEVIN BLAKE METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4700 KELLEY HWY, FORT SMITH, AR 72904-5024
(479) 709-7460
Mailing address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1437
AR
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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