Branch, Karen Michelle

Branch, Karen Michelle is an individual health care provider with primary practice located at 2210 W Main St , Russellville AR 72801-2760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Branch, Karen Michelle can be contacted via phone (479) 968-8940.

Contact Information

Primary practice address
2210 W Main St Russellville AR 72801-2760
Fax: (479) 968-8901
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A003317 Arkansas

Profile Details

NPI number 1013241876
LBN Legal business name Branch, Karen Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2009
Last updated Nov 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013241876 NPPES
Arkansas MEDICAID 187259758
Arkansas Other 710808809

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