Healthcare Provider Details

I. General information

NPI: 1336844778
Provider Name (Legal Business Name): KATHERINE MARIE HART MD, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 S IZARD ST
LITTLE ROCK AR
72201-4028
US

IV. Provider business mailing address

806 S IZARD ST
LITTLE ROCK AR
72201-4028
US

V. Phone/Fax

Practice location:
  • Phone: 501-474-6796
  • Fax:
Mailing address:
  • Phone: 501-474-6796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberE-18436
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: