Individual
MR. KELLY GLENN THOMPSON-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2000 S 42ND ST STE 100, ROGERS, AR 72758-2001
(479) 273-9173
Mailing address
2000 S 42ND ST STE 100, ROGERS, AR 72758-2001
(479) 273-9173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214719
AR
Other
Enumeration date
02/03/2021
Last updated
08/01/2025
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