NPI 1154925824
Kellie Nicole Underwood
Practice location
- Address
- 3307 N Dixieland Rd, Rogers, AR 72756-6816
- Phone
- (479) 986-5150
- Fax
- (479) 986-5191
- Mailing address
- PO Box 130, Rogers, AR 72757-0130
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1154925824
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Nov 2020
- Record last updated
- 24 Nov 2020
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.