Apple, Kacey Churchwell

Apple, Kacey Churchwell is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Apple, Kacey Churchwell can be contacted via phone (479) 338-3331.

Contact Information

Primary practice address
2710 S Rife Medical Ln Rogers AR 72758-1452
Phone: (479) 338-3331
Fax: (479) 338-2274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X A005531 Arkansas

Profile Details

NPI number 1790939460
LBN Legal business name Apple, Kacey Churchwell
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2008
Last updated Mar 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790939460 NPPES
Texas MEDICAID 1790939460

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