Individual
MRS. KRISTIN JANELL BEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3205 JENNY LIND RD, FORT SMITH, AR 72901-7101
(479) 785-2501
(479) 420-3655
Mailing address
2905 LOVE ST, POCOLA, OK 74902-2454
(918) 721-1753
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
484
AR
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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