Individual
JAMES A BAKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2508 SE 20TH ST, BENTONVILLE, AR 72712-4008
(479) 273-9088
(479) 750-4843
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
(479) 750-4843
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2015015032
MO
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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