Individual
KERSTIN WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 W MAIN ST, RUSSELLVILLE, AR 72801-2301
(479) 547-5470
(479) 547-5471
Mailing address
3205 W MAIN ST, RUSSELLVILLE, AR 72801-2301
(479) 547-5470
(479) 547-5471
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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