Individual
KATHLEEN M WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 CAMP RD, POCAHONTAS, AR 72455-1487
(870) 892-0027
(870) 892-7945
Mailing address
1 CHILDRENS WAY, SLOT 512-39, LITTLE ROCK, AR 72202-3500
(501) 526-8700
(501) 526-8740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R78404
AR
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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