Individual
MRS. KEIRSTEN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1321 EDINGBURGH DR, MABELVALE, AR 72103-8774
(901) 288-6336
Mailing address
1321 EDINGBURGH DR, MABELVALE, AR 72103-8774
(901) 288-6336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221267
AR
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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