Rawn, Kelli Kotlarz

Rawn, Kelli Kotlarz is an individual health care provider with primary practice located at 2400 W Main St , Jacksonville AR 72076. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Rawn, Kelli Kotlarz can be contacted via phone (501) 982-4578.

Contact Information

Primary practice address
2400 W Main St Jacksonville AR 72076
Fax: (501) 533-6326
Website:

Health care specialties

Profile Details

NPI number 1790810414
LBN Legal business name Rawn, Kelli Kotlarz
Credentials O.TR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Dec 23rd, 2021 - about 4 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 1790810414 NPPES
Arkansas MEDICAID 156333721

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