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Individual

KATIE E COMBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
501 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 580-0158
(870) 580-0298
Mailing address
501 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 580-0158
(870) 580-0298

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A03025
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A03025
ADVANCED NURSE PRACTITIONER
AR
Enumeration date
10/11/2007
Last updated
05/03/2021
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