NPI 1487063897

Kelly Marie Krause, PAC

Practitioner Physician Assistant Mountain Home, AR

Practice location

Address: 2062 Highway 62 W, Mountain Home, AR 72653-7656
Phone: (870) 425-5464
Fax: (870) 425-5465
Mailing address: P.O. Box 763, Mountain Home, AR 72654

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-567 (AR)

Other Physician Assistant providers in Arkansas →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-567 (AR)

Registry record

NPI: 1487063897
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2014
Record last updated: 29 Sep 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.