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 Date2024-01-09
Business Address
KELLIE ANN CHACANACA APRN
5100 S THOMPSON ST STE 214
SPRINGDALE, AR 72764-6941
Phone number: 479-329-1194
Mailing Address
KELLIE ANN CHACANACA APRN
5100 S THOMPSON ST STE 214
SPRINGDALE, AR 72764-6941
Phone number: