KELLIE UNDERWOOD
Licensed Practical Nurse
Active
Individual
NPI: 1154925824
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 122078 (AR) |
Frequently Asked Questions
NPI 1154925824 is the National Provider Identifier for KELLIE UNDERWOOD, a Licensed Practical Nurse provider located in Rogers, AR. This NPI was enumerated on November 24, 2020.
KELLIE UNDERWOOD practices at 3307 N DIXIELAND RD, Rogers, AR 72756.
Quick Facts
- NPI
- 1154925824
- Type
- Individual
- Enumerated
- Nov 24, 2020
- Last Updated
- Nov 24, 2020
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