Individual
MS. KIMBERLY PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 604-6900
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 978-2623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004836
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699128611
NPI
AR
01
—
A004836
LICENSE #
AR
Enumeration date
07/14/2016
Last updated
05/02/2024
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