Individual
MRS. HOLLY LEIGH KYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA, 3050 TWIN RIVERS DR., ARKADELPHIA, AR 71923
(870) 245-1106
Mailing address
840 HIGHWAY 222, MALVERN, AR 72104-7079
(501) 384-5407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
750
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X264
MNT PROVIDER
AR
Enumeration date
06/27/2006
Last updated
07/08/2007
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