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NPI Code Detail

MEDICARE: KRISTIN NEEL

MEDICARE: KRISTIN NEEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPD12827AR

General Provider Information

NPI Number : 1770986507
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN NEEL
Provider Business Mailing Address
First Line : 8300 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5235
Country : US
Telephone Number : 479-452-3330
Fax Number :
Provider Business Practice Location Address
First Line : 8300 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5235
Country : US
Telephone Number : 479-452-3330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2014
Last Update Date : 10/07/2014

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Directions to “ KRISTIN NEEL ” Practice Location

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