Wallace, Kathleen Nicole

Wallace, Kathleen Nicole is an individual health care provider with primary practice located at 2410 Pine St , Arkadelphia AR 71923-4335. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Wallace, Kathleen Nicole can be contacted via phone (870) 245-2210.

Contact Information

Primary practice address
2410 Pine St Arkadelphia AR 71923-4335
Phone: (870) 245-2210
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1881801090
LBN Legal business name Wallace, Kathleen Nicole
Credentials B.S.E.
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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