Individual
KATHLEEN SUZAN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7001 ROGERS AVE STE 502, FORT SMITH, AR 72903-4041
(479) 484-5901
(479) 484-0778
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 484-5901
(479) 484-0778
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-9166
AR
207V00000X
Obstetrics & Gynecology Physician
T-2492
MS
Other
Enumeration date
07/06/2011
Last updated
11/21/2025
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