| NPI | 1700284163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN KAYE COX Family Nurse Practitioner 870-777-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AR A004221) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: AR A004221) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |