Individual
KATHLEEN JOY PRINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNS-BC
Contact information
Practice address
628 HOSPITAL DR STE 1-A, MOUNTAIN HOME, AR 72653-2946
(870) 508-3200
(870) 508-1359
Mailing address
PO BOX 958539, SAINT LOUIS, MO 63195-8539
(870) 508-3200
(870) 508-1359
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
S002282
AR
Other
Enumeration date
09/30/2013
Last updated
06/10/2021
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