person
Katie Janette Carillon, PAC
Medical Physician Assistant in Maumelle, Arkansas
NPI 1649538679

Katie Janette Carillon is a Medical Physician Assistant based in Little Rock, AR and is specialized in Medical. Katie Janette Carillon practices in Maumelle, AR and has the professional credentials of PAC. The NPI Number for Katie Janette Carillon is 1649538679 and holds a License No. PA468 (Arkansas).

The current practice location address for Katie Janette Carillon is 1701 Club Manor Dr Ste 2B, Maumelle, AR and can be reached out via phone at 501-843-4555 and via fax at 501-743-1550.

Location: 1701 Club Manor Dr Ste 2B, Maumelle, AR, 72211-4393
person
Provider Profile Details
NPI Number
1649538679
Provider Name
Katie Janette Carillon
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
1701 Club Manor Dr Ste 2B, Maumelle, AR, 72211-4393
Phone Number
501-843-4555
Fax Number
501-743-1550
Provider Enumeration Date
04/27/2012
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1701 Club Manor Dr Ste 2B
City
State
Zip
72113-7401
Phone Number
501-843-4555
Fax Number
501-743-1550
person
Provider Business Mailing Address Details
Address
1701 Club Manor Dr Ste 2B
City
State
Zip
72113-7401
Phone Number
501-843-4555
Fax Number
501-743-1550
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA468 (Arkansas)
Definition
Definition to come...
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