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
Phone: (479) 443-8009
Fax: (479) 443-4450
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598758591 | NPPES |
Arkansas | MEDICAID | 177181608 | |
Arkansas | Other | 1558695601 |
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