Individual
MRS. KIM R SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
12 E APPLEBY RD, STE 101, FAYETTEVILLE, AR 72703-3901
(479) 463-4444
(479) 463-4499
Mailing address
12 E APPLEBY RD, STE 101, FAYETTEVILLE, AR 72703-3901
(479) 463-4444
(479) 463-4499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01696
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154402758
—
AR
01
—
5X450
BLUE
AR
Enumeration date
04/20/2006
Last updated
04/25/2011
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