Healthcare Provider Details
I. General information
NPI: 1306973664
Provider Name (Legal Business Name): KONARSKI CHIROPRACTIC CLINIC PLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
422 N CEDAR ST
LITTLE ROCK AR
72205-5538
US
IV. Provider business mailing address
422 N CEDAR ST
LITTLE ROCK AR
72205-5538
US
V. Phone/Fax
- Phone: 501-664-1477
- Fax: 501-666-2549
- Phone: 501-664-1477
- Fax: 501-666-2549
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NX0800X |
| Taxonomy | Orthopedic Chiropractor |
| License Number | 934 |
| License Number State | AR |
VIII. Authorized Official
Name: DR.
KAREN
KAY
KONARSKI-HART
Title or Position: OWNER
Credential: DC
Phone: 501-664-1477