Individual
LACEY DESHAY KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-6254
(479) 414-9629
Mailing address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-6254
(479) 709-6700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
212497
AR
363LF0000X
Family Nurse Practitioner
F06201581
AR
Other
Enumeration date
06/19/2020
Last updated
07/31/2026
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