Individual
KIMBERLY J. CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1000 SE 13TH CT, BENTONVILLE, AR 72712-7857
(479) 273-9056
(479) 273-6937
Mailing address
1000 SE 13TH CT, BENTONVILLE, AR 72712-7857
(479) 273-9056
(479) 273-6937
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R72705
AR
363L00000X
Nurse Practitioner
Primary
A01870
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160045758
—
AR
Enumeration date
06/28/2006
Last updated
06/04/2008
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