Healthcare Provider Details

I. General information

NPI: 1669395596
Provider Name (Legal Business Name): KELLY CLAIRE NEWMAN PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 GREENWOOD RD
CAMMACK VILLAGE AR
72207-1811
US

IV. Provider business mailing address

6720 GREENWOOD RD
CAMMACK VILLAGE AR
72207-1811
US

V. Phone/Fax

Practice location:
  • Phone: 501-622-8657
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPD10849
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: