Individual
DECONTEE BERNIECE KAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-7100
Mailing address
1601 W 40TH AVE, PINE BLUFF, AR 71603-6069
(870) 541-7100
(870) 541-7622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-19971
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
10/10/2025
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