Lisenby, Kellie Lynn
Lisenby, Kellie Lynn is an sole proprietor health care provider with primary practice located at 1 Childrens Way Slot 837, Little Rock AR 72202-3500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Lisenby, Kellie Lynn can be contacted via phone (501) 364-4468.Contact Information
Primary practice address
1 Childrens Way Slot 837
Little Rock AR 72202-3500
Phone: (501) 364-4468
Fax: (501) 364-1516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | A03042 | Arkansas |
Profile Details
| NPI number | 1831385772 |
|---|---|
| LBN Legal business name | Lisenby, Kellie Lynn |
| Credentials | MNSC, CPNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2007 |
| Last updated | Feb 15th, 2011 - about 14 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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