Individual
KINLEY BROOKE FARRIESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 BOB WHITE AVE, SPRINGDALE, AR 72764-8493
(479) 249-7252
Mailing address
1260 BOB WHITE AVE, SPRINGDALE, AR 72764-8493
(479) 249-7252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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