Gervais, Isabell Kesari

Gervais, Isabell Kesari is an sole proprietor health care provider with primary practice located at 4210 N Frontage Rd Suite B, Fayetteville AR 72703-5001. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Gervais, Isabell Kesari can be contacted via phone (479) 249-8200.

Contact Information

Primary practice address
4210 N Frontage Rd Suite B Fayetteville AR 72703-5001
Phone: (479) 249-8200
Fax: (479) 249-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X 1640 Alabama
Other Service Providers / Naturopath 175F00000X 1640 Alabama

Profile Details

NPI number 1558604819
LBN Legal business name Gervais, Isabell Kesari
Credentials MBBS, HMD, OMD, NMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2013
Last updated Nov 21st, 2013 - about 13 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 1558604819 NPPES
Arkansas MEDICAID 1558604819

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