Individual
KIMBERLY MILLS OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
119 W H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3224
(501) 771-7648
Mailing address
119 W H AVE, NORTH LITTLE ROCK, AR 72116-8733
(501) 772-3224
(501) 771-7648
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
202003029
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179509721
—
AR
Enumeration date
09/14/2009
Last updated
02/16/2010
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