Individual
KACEY CHURCHWELL APPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-3331
(479) 338-2274
Mailing address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-3331
(479) 338-2274
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
A005531
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790939460
—
TX
Enumeration date
11/07/2008
Last updated
03/05/2018
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