Individual
DR. KATELYN HALIE CARMICAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
Mailing address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
(870) 367-1461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E12164
AR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/06/2015
Last updated
06/11/2020
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