Madia, Kelly L

Madia, Kelly L is an individual health care provider with primary practice located at 2710 S Rife Medical Ln , Rogers AR 72758-1452. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Madia, Kelly L can be contacted via phone (479) 636-0200.

Contact Information

Primary practice address
2710 S Rife Medical Ln Rogers AR 72758-1452
Phone: (479) 636-0200
Fax: (479) 986-3448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60910189 Washington
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP60910189 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP60910189 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X A004821 Arkansas

Profile Details

NPI number 1336503457
LBN Legal business name Madia, Kelly L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2016
Last updated Feb 13th, 2023 - about 2 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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