Individual
KENNETH MICHAEL LAWHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, CRNA
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(731) 333-6256
Mailing address
PO BOX 10588, FORT SMITH, AR 72917-0588
(501) 255-6697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16696
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
C003017
AR
Other
Enumeration date
06/07/2012
Last updated
11/29/2022
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