Individual
KIESHA PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3307 N DIXIELAND RD, ROGERS, AR 72756-6816
(479) 986-5150
Mailing address
3307 N DIXIELAND RD, ROGERS, AR 72756-6816
(479) 986-5150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L52237
AR
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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