Individual
KAREN J REINERTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28 SOUTHPOINTE DR, PARAGOULD, AR 72450-6238
(870) 239-2244
(870) 236-1616
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16594
NE
2084P0800X
Psychiatry Physician
Primary
E-6966
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03825
BLUE CROSS BLUE SHIELD NE
NE
05
—
186894001
—
AR
01
—
5AJ66G677
MEDICARE
AR
01
—
5H936
BLUE CROSS AR
AR
Enumeration date
08/12/2005
Last updated
03/17/2019
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