Individual
KELLEY HINELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3873 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6286
(479) 571-7004
Mailing address
3873 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6286
(479) 571-7004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AA004049
AR
Other
Enumeration date
04/03/2014
Last updated
04/02/2018
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