KENITA POORE

ROGERS, AR
NPI1063048817
Former NameKENITA DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AR  124002)
Enumeration Date2020-03-12
Last Update Date2023-10-13
Business Address
KENITA POORE NP
1001 S HORSEBARN RD
ROGERS, AR 72758-8184
Phone number: 479-273-7700
Mailing Address
KENITA POORE NP
PO BOX 776084
CHICAGO, IL 60677-6084
Phone number: 314-543-6979