Individual
KATRINA NOELLE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 250-1053
(479) 250-0923
Mailing address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 250-1053
(479) 250-0923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-266
AR
Other
Enumeration date
03/04/2008
Last updated
12/07/2022
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