Kinsey, Nettie Ann

Kinsey, Nettie Ann is an individual health care provider with primary practice located at 1233 W Poplar St , Rogers AR 72756-4245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kinsey, Nettie Ann can be contacted via phone (479) 636-9235.

Contact Information

Primary practice address
1233 W Poplar St Rogers AR 72756-4245
Phone: (479) 636-9235
Fax: (479) 631-0374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 506983 Texas

Profile Details

NPI number 1154406486
LBN Legal business name Kinsey, Nettie Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Feb 14th, 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 1154406486 NPPES
Texas MEDICAID 178715201
Texas Other 8Y0113

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