Individual
NICHOLAS KILLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
2153 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4714
(479) 521-1532
Mailing address
2052 S FLORIDA WAY, FAYETTEVILLE, AR 72701-7166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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