Organization
KA OLIVER INC.
Active
Other names
Ozark Mountain Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY OLIVER APRN (PRESIDENT)
(479) 387-4920
Entity
Organization
Contact information
Practice address
3810 N FRONT ST STE 11, FAYETTEVILLE, AR 72703-5217
(479) 387-4920
Mailing address
12768 N BILLINGSLEY RD, PRAIRIE GROVE, AR 72753-9467
(479) 409-1029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004049
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206672758
—
AR
01
—
5AQ83
BLUE CROSS
AR
Enumeration date
03/07/2018
Last updated
06/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us