Individual
ALLI KRISTEN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 WENTWORTH DR, BELLA VISTA, AR 72715-6514
(479) 619-7719
Mailing address
50 WENTWORTH DR, BELLA VISTA, AR 72715-6514
(479) 619-7719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55256
CA
363A00000X
Physician Assistant
PT2018-023
AR
Other
Enumeration date
04/16/2018
Last updated
06/04/2024
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