Individual
KYLE KREULEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3714 GRAND OAKS DR, BENTON, AR 72019-2045
(501) 517-7004
Mailing address
3714 GRAND OAKS DR, BENTON, AR 72019-2045
(501) 517-7004
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
PA-907
AR
363A00000X
Physician Assistant
Primary
PA-907
AR
Other
Enumeration date
02/14/2019
Last updated
09/10/2021
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