NPI 1063089449
Kaylen Welter, MPASPAC
Practice location
- Address
- 550 Club Ln, Conway, AR 72034-3681
- Phone
- (501) 329-1510
- Mailing address
- 3300 Daffodil Dr, Conway, AR 72034-3496
Registered specialties (2)
Medical Physician Assistant
Primary
Medical Physician Assistant
Registry record
- NPI
- 1063089449
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jun 2021
- Record last updated
- 14 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.