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Kathryn N Deacon
Family Nurse Practitioner in Cabot, Arkansas
NPI 1598289746

Kathryn N Deacon is a Family Nurse Practitioner based in Augusta, AR and is specialized in Family. Kathryn N Deacon practices in Cabot, AR. The NPI Number for Kathryn N Deacon is 1598289746 and holds a License No. A005258 (Arkansas).

The current practice location address for Kathryn N Deacon is 502 Richie Rd, Cabot, AR and can be reached out via phone at 501-941-0940 and via fax at 501-941-1875.

Location: 502 Richie Rd, Cabot, AR, 72006-0497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598289746
Provider Name
Kathryn N Deacon
Credential
Provider Entity Type
Individual
Gender
Female
Address
502 Richie Rd, Cabot, AR, 72006-0497
Phone Number
501-941-0940
Fax Number
501-941-1875
Provider Enumeration Date
07/31/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
221205758 05 AR
institution
Provider Business Practice Location Address Details
Address
502 Richie Rd
City
Cabot
State
Arkansas
Zip
72023-3309
Phone Number
501-941-0940
Fax Number
501-941-1875
person
Provider Business Mailing Address Details
Address
502 Richie Rd
City
Cabot
State
Arkansas
Zip
72023-3309
Phone Number
501-941-0940
Fax Number
501-941-1875
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A005258 (Arkansas)
Definition
Definition to come...
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