Individual
KAITLYN CARLEY TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2708 S RIFE MEDICAL LN STE 140, ROGERS, AR 72758-1455
(479) 338-3720
(479) 338-3749
Mailing address
2708 S RIFE MEDICAL LN STE 140, ROGERS, AR 72758-1455
(479) 338-3720
(479) 338-3749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020005624
MO
363LF0000X
Family Nurse Practitioner
Primary
219488
AR
Other
Enumeration date
02/19/2020
Last updated
07/07/2022
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