Individual
KEELY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10100 KANIS RD, LITTLE ROCK, AR 72205-6202
(501) 255-6000
(501) 255-6400
Mailing address
5360 CHATEAU DR, CONWAY, AR 72034-7830
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
123828
AR
Other
Enumeration date
02/05/2020
Last updated
03/18/2020
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