Individual
KYLE EUGENE WEWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4280 E STATE HIGHWAY 197, SCRANTON, AR 72863-9043
(479) 438-2198
Mailing address
4280 E STATE HIGHWAY 197, SCRANTON, AR 72863-9043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005621
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005621
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
05/23/2018
Last updated
05/23/2018
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