Kellie Nicole Underwood

NPI #1154925824 in Rogers, Arkansas

Provider Information

NPI Number
1154925824
Entity Type
Individual
Name
Kellie Nicole Underwood
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 24, 2020
Last Updated
Nov 24, 2020

Practice Location

Address
3307 N DIXIELAND RD
City
Rogers
ZIP Code
72756-6816
Phone
(479) 986-5150

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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