Individual
MRS. KIRBY POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
889 MAIN ST, MELBOURNE, AR 72556-8205
(870) 368-4586
(870) 368-4587
Mailing address
PO BOX 967, MELBOURNE, AR 72556-0967
(870) 368-4586
(870) 368-4587
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L055449
AR
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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