KATHLEEN SUZAN STREET

FORT SMITH, AR
NPI1871880278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: AR  E-9166)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: MS  T-2492)
Enumeration Date2011-07-06
Last Update Date2025-11-21
Business Address
KATHLEEN SUZAN STREET D.O.
7001 ROGERS AVE STE 502
FORT SMITH, AR 72903-4041
Phone number: 479-484-5901
Mailing Address
KATHLEEN SUZAN STREET D.O.
PO BOX 776084
CHICAGO, IL 60677-6084
Phone number: 479-484-5901