Individual
DR. KRISTIN R ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1280 E STEARNS ST, SUITE 5, FAYETTEVILLE, AR 72703-6241
(479) 445-6460
(479) 445-6719
Mailing address
1280 E STEARNS ST, SUITE 5, FAYETTEVILLE, AR 72703-6241
(479) 445-6460
(479) 445-6719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200600845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BR9149572
UPIN
NC
Enumeration date
08/08/2006
Last updated
10/02/2012
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