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Individual

MRS. KATELIN D WHIDDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.

Contact information

Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03483
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198625758
AR
Enumeration date
01/27/2011
Last updated
09/25/2020
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