Individual
KYLE MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 930-7254
Mailing address
300 CARSON ST, JONESBORO, AR 72401-3104
(870) 930-7254
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A004342
AR
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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