Individual
KODIE KAY-IRENE FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 NORTHRIDGE DR, VAN BUREN, AR 72956-6544
(479) 474-4892
(479) 474-4179
Mailing address
117 NORTHRIDGE DR E STE C, VAN BUREN, AR 72956-5183
(479) 474-4892
(479) 474-4179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125477
AR
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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