Individual
KAIULANI MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10301 KANIS RD, LITTLE ROCK, AR 72205-6205
(501) 604-6900
(501) 604-6941
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 604-6900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT008824
GA
225100000X
Physical Therapist
Primary
PT3996
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT008824
STATE LISC NUMBER
GA
Enumeration date
11/06/2006
Last updated
01/11/2019
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