Individual
KIRSTEN NICHOLE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 CAMP RD, POCAHONTAS, AR 72455-1487
(870) 892-0027
(870) 892-7945
Mailing address
410 CAMP RD, POCAHONTAS, AR 72455-1487
(870) 892-0027
(870) 892-7945
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L51351
AR
Other
Enumeration date
04/20/2011
Last updated
04/15/2015
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