Individual
KATHRYN N DEACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 HIGHWAY 365, MAYFLOWER, AR 72106-9595
(501) 470-7413
(501) 470-7415
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005258
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221205758
—
AR
Enumeration date
07/31/2017
Last updated
02/05/2025
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