Individual
BENTLEE KATHERINE RUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9101 JENNY LIND RD, FORT SMITH, AR 72908-9142
(479) 322-1901
Mailing address
3519 WATSON RD, GREENWOOD, AR 72936-9198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005867
AR
Other
Enumeration date
08/21/2018
Last updated
04/30/2019
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