Individual
KASSIE OLIVIA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2180 ADA AVE STE 300, CONWAY, AR 72034-4300
(501) 327-6547
(501) 327-9715
Mailing address
2180 ADA AVE STE 300, CONWAY, AR 72034-4300
(501) 327-6547
(501) 327-9715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220074
AR
Other
Enumeration date
05/23/2022
Last updated
05/24/2022
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