Individual
KAY LYNN BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 W 4TH ST, NORTH LITTLE ROCK, AR 72114-5364
(501) 617-3505
Mailing address
800 W 4TH ST, NORTH LITTLE ROCK, AR 72114-5364
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
62313
CA
Other
Enumeration date
09/01/2020
Last updated
03/10/2025
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