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General NPI Number Information
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NPI Number | 1235959990
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Entity Type | Individual
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Provider Name | KATI LIGON KEITH MS, RD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 4600 MERCY LN
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City | SPRINGDALE
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State | AR
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Zip | 72762-3070
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Country | US
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Telephone | 501-672-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 S RIFE MEDICAL LN
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City | ROGERS
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State | AR
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Zip | 72758-1452
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Country | US
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Telephone | 479-338-8000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86415123
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License Number State | AR
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