Individual
DR. KATHLYN R. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3215 N. NORTH HILLS BLVD., FAYETTEVILLE, AR 72703-4424
(479) 463-7102
(479) 463-7864
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-9453
AR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
E-9453
AR
207R00000X
Internal Medicine Physician
A102273
CA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
E-9453
AR
208M00000X
Hospitalist Physician
E-9453
AR
Other
Enumeration date
02/12/2008
Last updated
07/21/2022
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