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Ka Oliver Inc.
Family Nurse Practitioner in Fayetteville, Arkansas
NPI 1558863373

Ka Oliver Inc. is a Family Nurse Practitioner based in Prairie Grove, AR and is specialized in Family. Ka Oliver Inc. practices in Fayetteville, AR. The NPI Number for Ka Oliver Inc. is 1558863373 and holds a License No. A004049 (Arkansas).

The current practice location address for Ka Oliver Inc. is 3810 N Front St Ste 11, Fayetteville, AR and can be reached out via phone at 479-387-4920.

Location: 3810 N Front St Ste 11, Fayetteville, AR, 72753-9467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558863373
Provider Name
Ka Oliver Inc.
Credential
Provider Entity Type
Organization
Address
3810 N Front St Ste 11, Fayetteville, AR, 72753-9467
Phone Number
479-387-4920
Fax Number
Provider Enumeration Date
03/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5AQ83 01 AR BLUE CROSS
206672758 05 AR
institution
Provider Business Practice Location Address Details
Address
3810 N Front St Ste 11
City
Fayetteville
State
Arkansas
Zip
72703-5217
Phone Number
479-387-4920
Fax Number
person
Provider Business Mailing Address Details
Address
3810 N Front St Ste 11
City
Fayetteville
State
Arkansas
Zip
72703-5217
Phone Number
479-387-4920
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A004049 (Arkansas)
Definition
Definition to come...
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