Kaffka, Lisa M

Kaffka, Lisa M is an individual health care provider with primary practice located at 300 Carson St , Jonesboro AR 72401-3104. 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. Kaffka, Lisa M can be contacted via phone (870) 932-1198.

Contact Information

Primary practice address
300 Carson St Jonesboro AR 72401-3104
Phone: (870) 932-1198
Fax: (870) 910-7710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A01687 Arkansas

Profile Details

NPI number 1518934496
LBN Legal business name Kaffka, Lisa M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 28th, 2008 - about 18 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 1518934496 NPPES
Arkansas MEDICAID 150062758

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