Underwood, Kellie Nicole

Underwood, Kellie Nicole is an sole proprietor health care provider with primary practice located at 3307 N Dixieland Rd , Rogers AR 72756-6816. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Underwood, Kellie Nicole can be contacted via phone (479) 986-5150.

Contact Information

Primary practice address
3307 N Dixieland Rd Rogers AR 72756-6816
Phone: (479) 986-5150
Fax: (479) 986-5191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 122078 Arkansas

Profile Details

NPI number 1154925824
LBN Legal business name Underwood, Kellie Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2020
Last updated Nov 24th, 2020 - about 6 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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