Healthcare Provider Details

I. General information

NPI: 1710698147
Provider Name (Legal Business Name): MORRILTON KWIK KARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E RAILROAD AVE
MORRILTON AR
72110-3408
US

IV. Provider business mailing address

110 E RAILROAD AVE
MORRILTON AR
72110-3408
US

V. Phone/Fax

Practice location:
  • Phone: 501-208-1006
  • Fax:
Mailing address:
  • Phone: 501-208-8017
  • Fax: 501-215-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIRK DOUGLAS RENFRO
Title or Position: OWNER
Credential:
Phone: 501-208-8017