LACEY DESHAY KENNON

FORT SMITH, AR
NPI1861018350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  F06201581)
Enumeration Date2020-06-19
Last Update Date2020-06-19
Business Address
LACEY DESHAY KENNON APRN, FNP-C
7509 RED PINE DR
FORT SMITH, AR 72916-8809
Phone number: 479-414-9629
Mailing Address
LACEY DESHAY KENNON APRN, FNP-C
7509 RED PINE DR
FORT SMITH, AR 72916-8809
Phone number: 479-414-9629
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