Individual
JAMEY PHILLIP KINNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1125 COUNTY ROAD 347, PIGGOTT, AR 72454-8155
(870) 598-9201
Mailing address
1125 COUNTY ROAD 347, PIGGOTT, AR 72454-8155
(870) 598-9201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2007026919
MO
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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