Individual
KELSEY MASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 SE PLAZA AVE, BENTONVILLE, AR 72712-3104
(479) 876-8111
(479) 876-8110
Mailing address
PO BOX 818018, CLEVELAND, OH 44181-8018
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1097
AR
363AM0700X
Medical Physician Assistant
Primary
PA12885
TX
363AS0400X
Surgical Physician Assistant
PA12885
TX
Other
Enumeration date
07/17/2019
Last updated
04/29/2026
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