Barnes, Kellie Elizabeth

Barnes, Kellie Elizabeth is an individual health care provider with primary practice located at 2646 E Joyce Blvd Ste 1 , Fayetteville AR 72703-4435. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Barnes, Kellie Elizabeth can be contacted via phone (479) 443-8009.

Contact Information

Primary practice address
2646 E Joyce Blvd Ste 1 Fayetteville AR 72703-4435
Fax: (479) 443-4450
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5660 Oklahoma
Dental Providers / Dentist 122300000X AR3678 Arkansas

Profile Details

NPI number 1598758591
LBN Legal business name Barnes, Kellie Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jan 7th, 2021 - about 4 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 1598758591 NPPES
Arkansas MEDICAID 177181608
Arkansas Other 1558695601

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