Individual
KIM S ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 W GROVE ST, EL DORADO, AR 71730-4416
(870) 864-4100
(870) 864-3555
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(870) 864-4100
(870) 864-3555
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
220802
AR
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP03711
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
220802
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP03711
ADVANCED PRACTICE LIC
LA
Enumeration date
02/23/2007
Last updated
06/15/2026
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