Kellie Lynn Lisenby in Little Rock - Pediatrics
Kellie Lynn Lisenby - NPI 1831385772
Kellie Lynn Lisenby is a Pediatrics in Little Rock, Arkansas. Kellie Lynn Lisenby practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kellie Lynn Lisenby is 1831385772. The last update date is 2011-02-15.
Kellie Lynn Lisenby's current location address is 1 Childrens Way, Little Rock, Arkansas. You can contact this provider via phone number 5013644468 and fax number 5013641516. The mailing address for Kellie Lynn Lisenby is 1 Childrens Way, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie Lynn Lisenby |
|---|---|
| Address | 1 Childrens Way, Little Rock, Arkansas |
| Phone Number | 5013644468 |
| Fax Number | 5013641516 |
| Sole Proprietor | Y |
| Credentials | MNSC, CPNP |
NPI Number Detail
| NPI Number | 1831385772 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2011-02-15 |
Provider Mailing Address Detail
| Address | 1 Childrens Way |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722023500 |
| Phone Number | 5013644468 |
| Fax Number | 5013641516 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | A03042 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the unique identification code assigned to Kellie Lynn Lisenby by the Centers for Medicare & Medicaid Services?
The Kellie Lynn Lisenby has been issued the NPI (National Provider Identifier) 1831385772. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kellie Lynn Lisenby is physically located?
The Kellie Lynn Lisenby is physically situated at the following address: 1 Childrens Way, Little Rock, AR, 722023500.
What is Kellie Lynn Lisenby's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kellie Lynn Lisenby is Pediatrics, and the taxonomy code that classifies this field of practice is 363Lp0200X.
On what date did the Kellie Lynn Lisenby receive the assignment of its 1831385772 from the Centers for Medicare & Medicaid Services?
The Kellie Lynn Lisenby was issued its 1831385772 by the Centers for Medicare & Medicaid Services on 2007-09-24.
As of what date were the details pertaining to Kellie Lynn Lisenby last refreshed?
The information related to the Kellie Lynn Lisenby, including its address, specialty, and other relevant details, was last updated on 2011-02-15.