Kersey, Myra Susan

Kersey, Myra Susan is an individual health care provider with primary practice located at 836 N Division St , Forrest City AR 72335-2708. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Kersey, Myra Susan can be contacted via phone (870) 633-1795.

Contact Information

Primary practice address
836 N Division St Forrest City AR 72335-2708
Phone: (870) 633-1795
Fax: (870) 261-1818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X R65618 Arkansas
Nursing Service Providers / Registered Nurse 163W00000X R65618 Arkansas

Profile Details

NPI number 1316247448
LBN Legal business name Kersey, Myra Susan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2010
Last updated Oct 27th, 2010 - about 16 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 1316247448 NPPES
Arkansas MEDICAID 124245761

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