KELLY L MADIA

ROGERS, AR
NPI1336503457
Former NameKELLY L GILBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: AR  A004821)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WA  AP60910189)
363LA2100X Nurse Practitioner, Acute Care
(Licence: WA  AP60910189)
363LG0600X Nurse Practitioner, Gerontology
(Licence: WA  AP60910189)
Enumeration Date2016-04-06
Last Update Date2023-02-13
Business Address
KELLY L MADIA ARNP
2710 S RIFE MEDICAL LN
ROGERS, AR 72758-1452
Phone number: 479-636-0200
Mailing Address
KELLY L MADIA ARNP
2710 S RIFE MEDICAL LN
ROGERS, AR 72758-1452
Phone number: 479-636-0200