Individual
KIM EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 HWY 62-412, ASH FLAT, AR 72513
(870) 994-7060
(870) 994-7063
Mailing address
4508 STADIUM BLVD, JONESBORO, AR 72404-9675
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L43907
AR
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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