Kittrell, Tara Catherine

Kittrell, Tara Catherine is an individual health care provider with primary practice located at 4301 W Markham St # 783 , Little Rock AR 72205-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kittrell, Tara Catherine can be contacted via phone (501) 526-8200.

Contact Information

Primary practice address
4301 W Markham St # 783 Little Rock AR 72205-7101
Phone: (501) 526-8200
Fax: (501) 526-8199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A03273ANP Arkansas

Profile Details

NPI number 1154552404
LBN Legal business name Kittrell, Tara Catherine
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2009
Last updated Oct 6th, 2009 - about 16 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 1154552404 NPPES
Arkansas MEDICAID 178399758

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