Organization
K GRIFFITH PMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY DANIELLE GRIFFITH APRN (PRESIDENT)
(479) 312-8862
Entity
Organization
Contact information
Practice address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 443-5575
(479) 443-9554
Mailing address
610 KITTY HAWK ST, VAN BUREN, AR 72956-2132
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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