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Kellie Nicole Underwood
Licensed Practical Nurse in Rogers, Arkansas
NPI 1154925824

Kellie Nicole Underwood is a Licensed Practical Nurse based in Rogers, AR. Kellie Nicole Underwood practices in Rogers, AR. The NPI Number for Kellie Nicole Underwood is 1154925824 and holds a License No. 122078 (Arkansas).

The current practice location address for Kellie Nicole Underwood is 3307 N Dixieland Rd, Rogers, AR and can be reached out via phone at 479-986-5150 and via fax at 479-986-5191.

Location: 3307 N Dixieland Rd, Rogers, AR, 72757-0130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154925824
Provider Name
Kellie Nicole Underwood
Credential
Provider Entity Type
Individual
Gender
Female
Address
3307 N Dixieland Rd, Rogers, AR, 72757-0130
Phone Number
479-986-5150
Fax Number
479-986-5191
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3307 N Dixieland Rd
City
Rogers
State
Arkansas
Zip
72756-6816
Phone Number
479-986-5150
Fax Number
479-986-5191
person
Provider Business Mailing Address Details
Address
3307 N Dixieland Rd
City
Rogers
State
Arkansas
Zip
72756-6816
Phone Number
479-986-5150
Fax Number
479-986-5191
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
122078 (Arkansas)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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