Individual
KELLIE A BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9015 DAILEY DR, LITTLE ROCK, AR 72209-6215
(501) 364-6560
(501) 364-1236
Mailing address
5401 JFK BLVD STE E-1, NORTH LITTLE ROCK, AR 72116-6756
(501) 712-3097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R093565
AR
363LP0200X
Pediatric Nurse Practitioner
A004760
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A004760
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214659758
—
AR
Enumeration date
07/17/2013
Last updated
03/06/2026
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