KENNETH DEAN PRUETT

JONESBORO, AR
NPI1952524878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR  ATP-000181)
Enumeration Date2007-04-10
Last Update Date2011-04-12
Business Address
-- KENNETH DEAN PRUETT APN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
Mailing Address
-- KENNETH DEAN PRUETT APN
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939
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