Individual
KELLY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10301 KANIS RD STE 1, LITTLE ROCK, AR 72205-6205
(501) 562-4838
Mailing address
PO BOX 675205, DALLAS, TX 75267-5205
(501) 224-1690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004650
AR
Other
Enumeration date
02/26/2016
Last updated
03/03/2025
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