Individual
KALLIE ALYCE HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
106 HIGHWAY 62 W # 412, SALEM, AR 72576-8059
(870) 895-2015
(870) 895-2164
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 856-2107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT-2020-029
AR
Other
Enumeration date
04/10/2020
Last updated
05/31/2022
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