Individual
MRS. KWIN ROBERTS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 622-1000
(501) 622-2044
Mailing address
155 LILLY MOUNTAIN LN, NORMAN, AR 71960-8530
(870) 334-2762
(870) 334-2762
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0812
AR
Other
Enumeration date
12/14/2006
Last updated
07/09/2007
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