Healthcare Provider Details

I. General information

NPI: 1295544435
Provider Name (Legal Business Name): ERIN JAYNE KATHERINE KEHNER HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 HIGDON FERRY RD STE B
HOT SPRINGS AR
71913-6904
US

IV. Provider business mailing address

1635 HIGDON FERRY RD STE B
HOT SPRINGS AR
71913-6904
US

V. Phone/Fax

Practice location:
  • Phone: 501-525-4688
  • Fax:
Mailing address:
  • Phone: 501-525-4688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number694
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: