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1255688263
KEVIN MICHAEL LILLIS
LITTLE ROCK, AR
NPI
1255688263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: AR R88599)
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
-- KEVIN MICHAEL LILLIS BSN, RN
2 SAINT VINCENT CIR
LITTLE ROCK, AR 72205-5423
Phone number: 501-552-2525
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Mailing Address
-- KEVIN MICHAEL LILLIS BSN, RN
1001 MCNUTT RD LOT 33
CONWAY, AR 72034-9343
Phone number: 706-825-4856
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