Individual
MRS. KATHLEEN H MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 452-2077
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 452-2077
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ATP000199
AR
Other
Enumeration date
03/02/2009
Last updated
11/04/2014
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