Easley Dotson, Kelley L

Easley Dotson, Kelley L is an individual health care provider with primary practice located at 1102 Crestwood Cir , Mena AR 71953-5513. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Easley Dotson, Kelley L can be contacted via phone (479) 394-7301.

Contact Information

Primary practice address
1102 Crestwood Cir Mena AR 71953-5513
Phone: (479) 394-7301
Fax: (479) 394-0371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A001612 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X A001612 Arkansas

Profile Details

NPI number 1902064272
LBN Legal business name Easley Dotson, Kelley L
Credentials APN PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2008
Last updated Jun 13th, 2024 - about 6 months 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 1902064272 NPPES
Arkansas MEDICAID 178404758

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