Organization
NATURAL STATE HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI A KIERNAN (PRESIDENT/OWNER)
(501) 224-1224
Entity
Organization
Contact information
Practice address
12911 CANTRELL RD, SUITE #4, LITTLE ROCK, AR 72223-1701
(501) 224-1224
(501) 224-1230
Mailing address
12911 CANTRELL RD, SUITE #4, LITTLE ROCK, AR 72223-1701
(501) 224-1224
(501) 224-1230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/23/2009
Last updated
08/25/2022
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