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Individual

SHANNA MCKELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
201 AIRPORT RD, HOT SPRINGS, AR 71913-4060
(501) 547-9481
Mailing address
201 AIRPORT RD, HOT SPRINGS, AR 71913-4060
(501) 547-9481
(501) 547-9482

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R079776
AR
363LF0000X
Family Nurse Practitioner
Primary
A006127
AR

Other

Enumeration date
03/01/2019
Last updated
04/26/2019
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