Individual
ANNALYSE KOHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDREN'S WAY, SLOT 512-19A, LITTLE ROCK, AR 72202
(501) 364-1874
Mailing address
631 FEATHERSTONE RD APT 2, ROCKFORD, IL 61107-6311
(630) 540-6137
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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