Mack, Kristen Erin

Mack, Kristen Erin is an individual health care provider with primary practice located at 7301 Rogers Ave , Fort Smith AR 72903-4100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mack, Kristen Erin can be contacted via phone (479) 314-6240.

Contact Information

Primary practice address
7301 Rogers Ave Fort Smith AR 72903-4100
Phone: (479) 314-6240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A004798 Arkansas

Profile Details

NPI number 1477905214
LBN Legal business name Mack, Kristen Erin
Credentials APRN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated Nov 17th, 2025 - about last year

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 1477905214 NPPES
Arkansas MEDICAID 215150758

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