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Individual

KAYLA R SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
502 RICHIE RD, CABOT, AR 72023
(501) 941-0940
(501) 941-1875
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004417
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210094758
AR
Enumeration date
06/04/2015
Last updated
06/16/2021
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