Maples, Kathleen M

Maples, Kathleen M is an individual health care provider with primary practice located at 200 W Tyler Ave , West Memphis AR 72301-4223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Maples, Kathleen M can be contacted via phone (501) 658-2718.

Contact Information

Primary practice address
200 W Tyler Ave West Memphis AR 72301-4223
Fax: (501) 724-3305
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A02928 Arkansas

Profile Details

NPI number 1245307586
LBN Legal business name Maples, Kathleen M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jun 12th, 2009 - about 15 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 1245307586 NPPES
Arkansas MEDICAID 164961758

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