Healthcare Provider Details

I. General information

NPI: 1316680499
Provider Name (Legal Business Name): KATHERINE L ZEHR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 J F BLVD
LONOKE AR
72086-9365
US

IV. Provider business mailing address

1920 FALLS BLVD N
WYNNE AR
72396-4027
US

V. Phone/Fax

Practice location:
  • Phone: 501-436-0222
  • Fax: 870-587-0799
Mailing address:
  • Phone: 501-766-3387
  • Fax: 870-587-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-18304
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-18304
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: