| NPI | 1558863373 | 
|---|---|
| Doing Business As | OZARK MOUNTAIN HEALTH AND WELLNESS | 
| Entity Type | Organization | 
| Authorized Contact | KELLEY OLIVER President 479-387-4920  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004049)  | 
| Enumeration Date | 2018-03-07 | 
| Last Update Date | 2018-06-16 |