Individual
KIMBERLY RODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
630 W COURT ST, PARAGOULD, AR 72450-4247
(870) 236-6911
Mailing address
PO BOX 1858, PARAGOULD, AR 72451-1858
(870) 476-6510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004865
AR
Other
Enumeration date
08/25/2016
Last updated
10/25/2016
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