KELLIE ANN CHACANACA

SPRINGDALE, AR
NPI1487004461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A004753)
Enumeration Date2016-06-21
Last Update Date2025-03-12
Business Address
KELLIE ANN CHACANACA APRN
3623 JOHNSON MILL BLVD STE 101
SPRINGDALE, AR 72762-6412
Phone number: 479-575-9359
Mailing Address
KELLIE ANN CHACANACA APRN
8300 LA SCALA AVE
SPRINGDALE, AR 72762-4278
Phone number:
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